Organization
CARECONNECT HEALTH, INC.
Active
Other names
CareConnect Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA YOUNG (SECRETARY)
(229) 273-8881
Entity
Organization
Contact information
Practice address
101 MAYO STREET, SUITE A, AMERICUS, GA 31709-3696
(229) 924-4647
(229) 924-4597
Mailing address
P.O. BOX 5610, CORDELE, GA 31010-1514
(229) 273-8881
(229) 273-8985
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106464A
—
GA
Enumeration date
11/11/2010
Last updated
01/06/2020
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