Family Practice Healthcare Clinic/ Urgent Care
LBN: Family Practice Healthcare Clinic/ Urgent Care
Family Practice Healthcare Clinic/ Urgent Care is an health care organization with primary practice located at 10 North 3Rd Ave , Mcrae GA 31055-4941. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Family Practice Healthcare Clinic/ Urgent Care can be contacted via phone (229) 868-2831, or through Wright, Edmund Matt via phone (229) 868-2831.
Contact Information
Primary practice address
10 North 3Rd Ave
Mcrae GA 31055-4941
Phone: (229) 868-2831
Fax: (229) 520-3068
Website:
Authorized official contact:
Name: Wright, Edmund Matt Doctor of Medicine (MD)
Phone: (229) 868-2831
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | RN115997 | Georgia |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 037111 | Georgia |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | RN115997 | Georgia |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 037111 | Georgia |
Profile Details
| NPI number | 1689802597 |
|---|---|
| LBN Legal business name | Family Practice Healthcare Clinic/ Urgent Care |
| DBA Doing business as | |
| Authorized official | Wright, Edmund Matt Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2009 |
| Last updated | Mar 28th, 2012 - about 13 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 | 1689802597 | NPPES |
| Georgia | MEDICAID | 000539283J | |
| Georgia | Other | RN115997 |
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