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ST. MARY'S HEALTH CARE SYSTEM INC. NPI 1841299195


NPI Information

NPI: 1841299195
Provider Name: ST. MARY'S HEALTH CARE SYSTEM, INC.
Classification: Pharmacy - 333600000X
Entity Type: Organization

CLIA Number: 11D1068105

Address:
1230 BAXTER ST
ATHENS, GA
ZIP 30606
Phone: (706) 389-3000
Get Directions

ST. MARY'S HEALTH CARE SYSTEM, INC. is a pharmacy in Athens, 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. ST. MARY'S HEALTH CARE SYSTEM, INC. NPI is 1841299195. The provider is registered as an organization entity type.

The provider's business location address is:

1230 BAXTER ST
ATHENS, GA
ZIP 30606-712
Phone: (706) 389-3000
Fax: (706) 389-3951

The provider's authorized official is D. Montez Carter .
The authorized official title is President & Ceo and has the following contact phone number (706) 389-3930.

The CLIA number assigned to this NPI record is 11D1068105 - other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 4/4/2018.


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
1333600000XPharmacyPHRE007696GEORGIAYes

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
1000461095BMEDICAIDGEORGIA
2000461095CMEDICAIDGEORGIA

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

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.