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LIBERTY REGIONAL MEDICAL CENTER NPI 1184641623


NPI Information

NPI: 1184641623
Provider Name: LIBERTY REGIONAL MEDICAL CENTER

Doing Business As: LIBERTY REGIONAL MEDICAL CENTER

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
462 E G MILES PKWY
HINESVILLE, GA
ZIP 31313
Phone: (912) 369-9482
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LIBERTY REGIONAL MEDICAL CENTER is a long term care pharmacy pharmacy in Hinesville, GA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. LIBERTY REGIONAL MEDICAL CENTER NPI is 1184641623. The provider is registered as an organization entity type.
The provider Is Doing Business As Liberty Regional Medical Center.

The provider's business location address is:

462 E G MILES PKWY
HINESVILLE, GA
ZIP 31313-000
Phone: (912) 369-9482
Fax: (912) 368-4237

The provider's authorized official is Derek Rozier .
The authorized official title is Cfo and has the following contact phone number (912) 369-9427.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 1/10/2024.


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
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336I0012XPharmacyInstitutional PharmacyPHRE008347GEORGIANo
43336L0003XPharmacyLong Term Care PharmacyYes

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
12013760OTHERPK

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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