26Kc Center For Family Medicine
LBN: 26Kc Center For Family Medicine
26Kc Center For Family Medicine is an health care organization with primary practice located at 800 Towne Park Dr Suit 400,, Rincon GA 31326-5156. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
26Kc Center For Family Medicine can be contacted via phone (912) 826-3373, or through Okere, Kennedy Kelechi via phone (912) 826-3373.
Contact Information
Primary practice address
800 Towne Park Dr Suit 400,
Rincon GA 31326-5156
Phone: (912) 826-3373
Fax:
Website:
Authorized official contact:
Name: Okere, Kennedy Kelechi Doctor of Medicine (MD)
Phone: (912) 826-3373
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 50331 | Georgia |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 50331 | Georgia |
Profile Details
| NPI number | 1790974293 |
|---|---|
| LBN Legal business name | 26Kc Center For Family Medicine |
| DBA Doing business as | |
| Authorized official | Okere, Kennedy Kelechi Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2007 |
| Last updated | Oct 25th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790974293 | NPPES |
| Georgia | MEDICAID | 000923062E |
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