Provider Demographics
NPI:1104244706
Name:BARTOW HEALTH ACCESS
Entity type:Organization
Organization Name:BARTOW HEALTH ACCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-535-7216
Mailing Address - Street 1:31 POINTE NORTH DR
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-7954
Mailing Address - Country:US
Mailing Address - Phone:678-535-7216
Mailing Address - Fax:678-535-7227
Practice Address - Street 1:31 POINTE NORTH DR
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-7954
Practice Address - Country:US
Practice Address - Phone:678-535-7216
Practice Address - Fax:678-535-7227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-01
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health