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NPI Code Detail

MEDICARE: HOSPITAL AUTHORITY OF CANDLER COUNTY

MEDICARE: HOSPITAL AUTHORITY OF CANDLER COUNTY
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
1275N00000XMedicare Defined Swing Bed Hospital Unit021-023GA

Other Identifiers

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

General Provider Information

NPI Number : 1588868947
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPITAL AUTHORITY OF CANDLER COUNTY
Provider Business Mailing Address
First Line : PO BOX 597
Second Line :
City : METTER
State : GA
Zip : 30439-0597
Country : US
Telephone Number : 912-685-1769
Fax Number : 912-685-3905
Provider Business Practice Location Address
First Line : 400 CEDAR ST
Second Line :
City : METTER
State : GA
Zip : 30439-3338
Country : US
Telephone Number : 912-685-1769
Fax Number : 912-685-3905
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. WILLUCK BENNETT
Credential :
Telephone Number : 912-685-1769
Provider Enumeration Date : 06/12/2007
Last Update Date : 02/24/2023

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Directions to “HOSPITAL AUTHORITY OF CANDLER COUNTY ” 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.

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