| Organization Name: | MCKINNEY COMMUNITY HEALTH CTR, INC |
| NPI Number: | 1568623346 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | OLA SMITH (CEO) |
| Mailing Address: | 623 Sycamore St Blackshear |
| State: | GA US |
| Postal Code: | 315162119 |
| Phone Number: | 9124493294 |
| Fax Number: | 9122871568 |
| NPI Enumeration Date: | 06/24/2008 |
| NPI Last Update Date: | 10/29/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |