YOURTOWN HEALTH
NPI 1740372473
Clinic/Center - Federally Qualified Health Center (FQHC) in Palmetto, GA

Q: What is Palmetto Health Council Inc's NPI number?

The NPI number for Palmetto Health Council Inc is 1740372473. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Yourtown Health and Community Medical Center.

Q: What is Palmetto Health Council Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 29, 2006CLIA Certified · 2 labs

643 MAIN ST, PALMETTO, GA 30268(404) 929-8824(404) 929-9769 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2021, Jun 24, 2021 (2 updates tracked since 2021).

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About Yourtown Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOURTOWN HEALTH (NPI 1740372473) is a healthcare organization registered as a federally qualified health center (fqhc) in Palmetto, Georgia and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Jon William Wollenzien, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1740372473

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePALMETTO HEALTH COUNCIL INC

Location Address643 MAIN STPalmetto, GA 30268-1138

Mailing Address643 Main StPalmetto, GA 30268-1138 · (404) 929-8824 · Fax (404) 929-9769

Phone(404) 929-8824

Fax(404) 929-9769

Organization SubpartNo

Authorized OfficialJon William WollenzienChief Executive Officer · (404) 929-8824

Enumeration DateSeptember 29, 2006

Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2021

✔ NPI 1740372473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in GA · H800040

Also ListedFamily MedicineTaxonomy 207Q00000X · License H800040 (GA)

643 MAIN ST, Palmetto, GA 30268

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Other Names 2

Doing Business AsYourtown Health

Doing Business AsCommunity Medical Center

Other Identifiers 7

Medicaid000472128FGA

Medicaid000472128AGA

Medicaid000472128GGA

Medicaid000228379AGA

Medicaid000472128EGA

Medicaid931512872AGA

Medicaid000472128HGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0257925

Your Town Health · Palmetto, GA

Active · expires Aug 31, 2026

CLIA Number11D0257925

Laboratory TypeCommunity Clinic

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorIsabel M. Soles

Laboratory Phone(770) 626-4046

Laboratory LocationYour Town Health643 Main Street, Palmetto, GA 30268

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 11D2173267

Yourtown Health Quickcare · Palmetto, GA

Active · expires Oct 8, 2027

CLIA Number11D2173267

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 9, 2025

Certificate Expiration DateOctober 8, 2027

Laboratory DirectorMilanieva S. Latorre

Laboratory Phone(770) 463-4644

Laboratory LocationYourtown Health Quickcare507 Park Street, Palmetto, GA 30268

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PALMETTO HEALTH COUNCIL INC

Clinic/Center (Federally Qualified Health Center (FQHC))