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BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC NPI 1386616555


NPI Information

NPI: 1386616555
Provider Name: BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC

Doing Business As: FANNIN REGIONAL HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
2855 OLD HIGHWAY 5
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 632-3711
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BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC is a medicare defined swing bed unit in Blue Ridge, GA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC NPI is 1386616555. The provider is registered as an organization entity type.
The provider Is Doing Business As Fannin Regional Hospital.

The provider's business location address is:

2855 OLD HIGHWAY 5
BLUE RIDGE, GA
ZIP 30513-248
Phone: (706) 632-3711
Fax: (760) 632-7216

The provider's authorized official is Randy Michael Cooper .
The authorized official title is Svp Finance Operations/ao and has the following contact phone number (615) 221-3840.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 9/3/2020.


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
1275N00000XMedicare Defined Swing Bed Unit055-452GEORGIAYes

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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