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PROVIDENT HEALTH SERVICES INC. NPI 1740341783


NPI Information

NPI: 1740341783
Provider Name: PROVIDENT HEALTH SERVICES, INC.

Doing Business As: MEMORIAL HEALTH HOSPITALISTS

Classification: Hospitalist - 208M00000X
Entity Type: Organization
Address:
4700 WATERS AVE
MEMORIAL HEALTH HOSPITALISTS
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-2155
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PROVIDENT HEALTH SERVICES, INC. is a hospitalist in Savannah, GA. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. PROVIDENT HEALTH SERVICES, INC. NPI is 1740341783. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Memorial Health Hospitalists.

The provider's business location address is:

4700 WATERS AVE
MEMORIAL HEALTH HOSPITALISTS
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-2155
Fax: (912) 350-2156

The provider's authorized official is Robin J. Maddox .
The authorized official title is Provider Enrollment Coordinator and has the following contact phone number (912) 350-9335.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 6/4/2009.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208M00000XHospitalistYes

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
1DF7661OTHERSOUTH CAROLINARR MEDICARE
28343MEDICARE PINSOUTH CAROLINA
3GRP5064MEDICARE PINGEORGIA
4DA3772OTHERGEORGIARR MEDICARE
5GPA921MEDICAIDSOUTH CAROLINA
6609293670AMEDICAIDGEORGIA

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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