Provider Demographics
NPI:1093190670
Name:CARECONNECT HEALTH, INC.
Entity Type:Organization
Organization Name:CARECONNECT HEALTH, INC.
Other - Org Name:CARECONNECT CONVENIENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SSECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-273-8881
Mailing Address - Street 1:101 DELUXE CIRCLE
Mailing Address - Street 2:SUITE B
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286
Mailing Address - Country:US
Mailing Address - Phone:706-647-7509
Mailing Address - Fax:706-647-6624
Practice Address - Street 1:101 DELUXE CIRCLE
Practice Address - Street 2:SUITE B
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286
Practice Address - Country:US
Practice Address - Phone:706-647-7509
Practice Address - Fax:706-647-6624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-24
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)