MEDICARE: LOWER OCONEE COMMUNITY HOSPITAL, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center	208152021	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164547287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOWER OCONEE COMMUNITY HOSPITAL, INC

Provider Business Mailing Address
First Line	:	441 W BROAD STREET
Second Line	:	PO BOX 546
City	:	MOUNT VERNON
State	:	GA
Zip	:	30445-2629
Country	:	US
Telephone Number	:	912-583-2229
Fax Number	:

Provider Business Practice Location Address
First Line	:	441 W BROAD STREET
Second Line	:
City	:	MOUNT VERNON
State	:	GA
Zip	:	30445-2629
Country	:	US
Telephone Number	:	912-583-2229
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OFFICE
Name	:	LYNAN FOWLER
Credential	:
Telephone Number	:	912-523-5113

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/11/2013

Similar Medicare Providers

1467099713 — LEMAR ANTHONY GORDON LPN
Practice Location Address:

41 S BLEEKER ST APT 1
MOUNT VERNON, NY
10550-2629

Practice Phone: 929-227-1052
Practice Fax: 929-227-1052

1336907948 — MOWA BAND OF CHOCTAW INDIANS
Practice Location Address:

1080 RED FOX RD W
MOUNT VERNON, AL
36560-2629

Practice Phone: 251-829-9023
Practice Fax: 855-933-1195

1316306665 — DR. MAX GILOT DPT
Practice Location Address:

2629 PARADISE ST
VERNON, TX
76384-5226

Practice Phone: 940-782-2219
Practice Fax:

1487076717 — DONNA DOULONG PTA
Practice Location Address:

2603A TARNBROOK DR
MOUNT LAUREL, NJ
08054-2629

Practice Phone: 203-257-4906
Practice Fax:

1558027227 — ALL IN ONE HOME CARE INC.
Practice Location Address:

2629 SUNSET AVE
ROCKY MOUNT, NC
27804-3748

Practice Phone: 252-452-9711
Practice Fax: 252-443-6399

1942076153 — EMILY HUGGINS
Practice Location Address:

575 MOUNT OLIVE CHURCH RD
TIFTON, GA
31794-2629

Practice Phone: 229-392-1370
Practice Fax:

Directions to “LOWER OCONEE COMMUNITY HOSPITAL, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.