Organization
MCKINNEY MEDICAL CENTER INC
Active
Parent organization
MCKINNEY MEDICAL CENTER INC
Other names
McKinney Community Health Center, MCKINNEY MEDICAL CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCKINNEY MEDICAL CENTER INC
Authorized official
OLA SMITH CEO (CEO)
(912) 287-0301
Entity
Organization
Contact information
Practice address
711 CHARLES GILMAN JR AVE STE B, KINGSLAND, GA 31548-5664
(912) 510-9728
Mailing address
218 QUARTERMAN ST, WAYCROSS, GA 31501-3547
(912) 287-0301
(912) 287-1568
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
K408492
GA
Other
Enumeration date
05/07/2015
Last updated
06/05/2019
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