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MAYO CLINIC HEALTH SYSTEM IN WAYCROSS INC NPI 1558334334


NPI Information

NPI: 1558334334
Provider Name: MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC
Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

Address:
1900 TEBEAU STREET
WAYCROSS, GA
ZIP 31501
Phone: (912) 287-2500
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MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC is a rural general acute care hospital in Waycross, GA. MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC NPI is 1558334334. The provider is registered as an organization entity type.

The provider's business location address is:

1900 TEBEAU STREET
WAYCROSS, GA
ZIP 31501
Phone: (912) 287-2500
Fax: (912) 287-2532

The provider's authorized official is George J Hoffman .
The authorized official title is Cfo and has the following contact phone number (912) 287-4213.

The enumeration date for this NPI number is 2/10/2006 and was last updated on 8/15/2016.


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
1282NR1301XGeneral Acute Care HospitalRuralGEORGIAYes

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
1110003MEDICARE OSCAR/CERTIFICATIONGEORGIA
2300026014AMEDICAIDGEORGIA
3000001229AMEDICAIDGEORGIA
4300026014BMEDICAIDGEORGIA

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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