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GRADY MEMORIAL HOSPITAL CORPORATION NPI 1578611638


NPI Information

NPI: 1578611638
Provider Name: GRADY MEMORIAL HOSPITAL CORPORATION

Doing Business As: GRADY HEALTH SYSTEM

Classification: Hospice, Inpatient - 315D00000X
Entity Type: Organization
Address:
80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303
Phone: (404) 616-4307
Get Directions

GRADY MEMORIAL HOSPITAL CORPORATION is a hospice inpatient in Atlanta, GA. The provider is a provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. GRADY MEMORIAL HOSPITAL CORPORATION NPI is 1578611638. The provider is registered as an organization entity type.
The provider Is Doing Business As Grady Health System.

The provider's business location address is:

80 JESSE HILL JR DR SE
ATLANTA, GA
ZIP 30303-031
Phone: (404) 616-4307

The provider's authorized official is Ozzie Gilbert .
The authorized official title is Vice President and has the following contact phone number (404) 616-1796.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 8/19/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315D00000XHospice, Inpatient060-001HGEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
111-1502MEDICARE ID-TYPE UNSPECIFIEDGEORGIAPROVIDER NUMBER
200376153AMEDICAIDGEORGIA

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: 4/28/2024

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