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HOSPITAL AUTHORITY OF WASHINGTON COUNTY NPI 1447560925


NPI Information

NPI: 1447560925
Provider Name: HOSPITAL AUTHORITY OF WASHINGTON COUNTY

Former Legal Business Name: HOSPITAL AUTHORITY OF WASHINGTON COUNTY

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D1093590

Address:
610 FERNCREST DR STE B
SANDERSVILLE, GA
ZIP 31082
Phone: (478) 552-9000
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HOSPITAL AUTHORITY OF WASHINGTON COUNTY is a specialist in Sandersville, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HOSPITAL AUTHORITY OF WASHINGTON COUNTY NPI is 1447560925. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Hospital Authority Of Washington County.

The provider's business location address is:

610 FERNCREST DR STE B
SANDERSVILLE, GA
ZIP 31082-863
Phone: (478) 552-9000
Fax: (478) 240-2057

The provider's authorized official is Carl Bredthauer .
The authorized official title is Cfo and has the following contact phone number (478) 240-2102.

The CLIA number assigned to this NPI record is 11D1093590 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2010 and was last updated on 5/31/2023.


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
1174400000XSpecialistYes

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

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.