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MEADOWS REGIONAL MEDICAL CENTER INC NPI 1093853764


NPI Information

NPI: 1093853764
Provider Name: MEADOWS REGIONAL MEDICAL CENTER INC

Doing Business As: MEADOWS REGIONAL MEDICALCENTER

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1703 MEADOWS LN
VIDALIA, GA
ZIP 30474
Phone: (912) 538-5872
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MEADOWS REGIONAL MEDICAL CENTER INC is a pharmacy in Vidalia, GA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. MEADOWS REGIONAL MEDICAL CENTER INC NPI is 1093853764. The provider is registered as an organization entity type.
The provider Is Doing Business As Meadows Regional Medicalcenter.

The provider's business location address is:

1703 MEADOWS LN
VIDALIA, GA
ZIP 30474-915
Phone: (912) 538-5872
Fax: (912) 538-5276

The provider's authorized official is Michelle Cox .
The authorized official title is Phcy Dir and has the following contact phone number (912) 538-5871.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyPHRE007368GEORGIAYes
23336C0003XPharmacyCommunity/Retail PharmacyX
33336L0003XPharmacyLong Term Care PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000725084AMEDICAIDGEORGIA
21154157OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.