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NPI Code Detail

MEDICARE: CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY

MEDICARE: CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
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
1251E00000XHome Health Agency072-261-HGA

General Provider Information

NPI Number : 1417944075
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
Provider Business Mailing Address
First Line : PO BOX 475
Second Line : 5700 CHIPLEY VILLAGE
City : PINE MOUNTAIN
State : GA
Zip : 31822-0475
Country : US
Telephone Number : 706-663-0988
Fax Number : 706-663-0687
Provider Business Practice Location Address
First Line : US HWY 27 AND 354
Second Line : 5700 CHIPLEY VILLAGE
City : PINE MOUNTAIN
State : GA
Zip : 31822-0475
Country : US
Telephone Number : 706-663-0988
Fax Number : 706-663-0687
Authorized Official
Title or Position : DIRECTOR OF HOME HEALTH
Name : DEBRA ANN VEAL
Credential :
Telephone Number : 334-756-1950
Provider Enumeration Date : 09/29/2005
Last Update Date : 08/22/2020

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Directions to “CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY ” 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.