Progressive Community Healthcare
LBN: Progressive Community Healthcare
Progressive Community Healthcare is an health care organization with primary practice located at 494 Boulevard Se , Atlanta GA 30312-3426. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Adult Medicine is the primary health care specialty.
Progressive Community Healthcare can be contacted via phone (404) 607-1002, or through Tyson, Quatoya R via phone (404) 607-1002.
Contact Information
Primary practice address
494 Boulevard Se
Atlanta GA 30312-3426
Phone: (404) 607-1002
Fax: (404) 607-1031
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | Georgia |
Profile Details
| NPI number | 1407877764 |
|---|---|
| LBN Legal business name | Progressive Community Healthcare |
| DBA Doing business as | |
| Authorized official | Tyson, Quatoya R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Dec 13th, 2011 - 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 | 1407877764 | NPPES |
| Georgia | MEDICAID | 229783620B |
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