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HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA NPI 1205229994


NPI Information

NPI: 1205229994
Provider Name: HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

Doing Business As: JEFF DAVIS HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
163 S TALLAHASSEE ST
HAZLEHURST, GA
ZIP 31539
Phone: (312) 371-7781
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HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA is a medicare defined swing bed unit in Hazlehurst, GA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA NPI is 1205229994. The provider is registered as an organization entity type.
The provider Is Doing Business As Jeff Davis Hospital.

The provider's business location address is:

163 S TALLAHASSEE ST
HAZLEHURST, GA
ZIP 31539-465
Phone: (312) 371-7781
Fax: (912) 375-4055

The provider's authorized official is Barry Bloom .
The authorized official title is Ceo and has the following contact phone number (912) 375-7781.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 6/23/2021.


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
1275N00000XMedicare Defined Swing Bed UnitYes

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.