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GEORGIA DEPARTMENT OF HUMAN RESOURCES NPI 1285663385


NPI Information

NPI: 1285663385
Provider Name: GEORGIA DEPARTMENT OF HUMAN RESOURCES

Doing Business As: NORTHWEST GEORGIA REGIONAL HOSPITAL

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
705 NORTH DIVISION STREET NW
BUILDING 103 - CLINICAL DIRECTOR'S OFFICE
ROME, GA
ZIP 30165
Phone: (706) 295-6285
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GEORGIA DEPARTMENT OF HUMAN RESOURCES is a psychiatric hospital in Rome, GA. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. GEORGIA DEPARTMENT OF HUMAN RESOURCES NPI is 1285663385. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Georgia Regional Hospital.

The provider's business location address is:

705 NORTH DIVISION STREET NW
BUILDING 103 - CLINICAL DIRECTOR'S OFFICE
ROME, GA
ZIP 30165-454
Phone: (706) 295-6285

The provider's authorized official is Thomas Muller .
The authorized official title is Clinical Director and has the following contact phone number (706) 295-6285.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 9/22/2008.


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
1283Q00000XPsychiatric Hospital057-013GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1112002GAMEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE B
2114014MEDICARE OSCAR/CERTIFICATIONGEORGIA
3000142172AMEDICAIDGEORGIA

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

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