Keys Ferry Medical Center

LBN: Mcdonough Primary Care Inc
Keys Ferry Medical Center is an health care organization with primary practice located at 68 Hampton St , Mcdonough GA 30253-3150. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mcdonough Primary Care Inc can be contacted via phone (770) 914-0342, or through Van Laar, William Harrell via phone (770) 914-0342.

Contact Information

Primary practice address
68 Hampton St Mcdonough GA 30253-3150
Phone: (770) 914-0342
Fax: (770) 914-0493
Website:
Map and Directions
Authorized official contact:
Name: Van Laar, William Harrell Doctor of Osteopathy (DO)
Phone: (770) 914-0342

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1710058953
LBN Legal business name Mcdonough Primary Care Inc
DBA Doing business as Keys Ferry Medical Center
Authorized official Van Laar, William Harrell Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2006
Last updated Nov 9th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710058953 NPPES
Georgia MEDICAID 000458455E

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