Provider Demographics
NPI:1366590747
Name:ADAMSVILLE HEALTH CENTER
Entity type:Organization
Organization Name:ADAMSVILLE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:404-730-1202
Mailing Address - Street 1:99 JESSE HILL JR DR
Mailing Address - Street 2:ROOM 402
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-3030
Mailing Address - Country:US
Mailing Address - Phone:404-730-1211
Mailing Address - Fax:404-730-1233
Practice Address - Street 1:3699 BAKERS FERRY RD SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331
Practice Address - Country:US
Practice Address - Phone:404-699-4215
Practice Address - Fax:404-505-5724
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FULTON COUNTY DEPARTMENT OF HEALTH AND WELLNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-08
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000457773AAOtherFAMILY PLANNING
000698662ROtherPREGNANCY RELATED SERVICE
GA000457773AMedicaid
GA000051884EOtherHEALTH CHECK FOR MEDICAID