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PIEDMONT FAYETTE HOSPITAL NPI 1760651665


NPI Information

NPI: 1760651665
Provider Name: PIEDMONT FAYETTE HOSPITAL
Classification: Chronic Disease Hospital - 281P00000X
Entity Type: Organization

CLIA Number: 11D0999981

Address:
1255 HIGHWAY 54 W
HEART FAILURE CENTER
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 719-6747
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PIEDMONT FAYETTE HOSPITAL is a chronic disease hospital in Fayetteville, GA. The provider is (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. PIEDMONT FAYETTE HOSPITAL NPI is 1760651665. The provider is registered as an organization entity type.

The provider's business location address is:

1255 HIGHWAY 54 W
HEART FAILURE CENTER
FAYETTEVILLE, GA
ZIP 30214-526
Phone: (770) 719-6747
Fax: (770) 719-6059

The provider's authorized official is Karen Elaine Gooding .
The authorized official title is Aprn/heart Failure Center and has the following contact phone number (770) 716-6747.

The CLIA number assigned to this NPI record is 11D0999981 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 2/25/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1281P00000XChronic Disease HospitalRN 174056 NPGEORGIANo
2281P00000XChronic Disease HospitalRN174056 NPGEORGIAYes

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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