MEDICARE: TATTNALL HOSPITAL COMPANY LLC

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	275N00000X	Medicare Defined Swing Bed Hospital Unit

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	:	1740440932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TATTNALL HOSPITAL COMPANY LLC

Provider Business Mailing Address
First Line	:	440 MALL BLVD STE C
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31406-4868
Country	:	US
Telephone Number	:	912-644-5300
Fax Number	:	912-644-5260

Provider Business Practice Location Address
First Line	:	247 S MAIN ST
Second Line	:
City	:	REIDSVILLE
State	:	GA
Zip	:	30453-4605
Country	:	US
Telephone Number	:	912-557-1000
Fax Number	:	912-557-1009

Authorized Official
Title or Position	:	CEO
Name	:	DAVID ALEX VILLA
Credential	:
Telephone Number	:	912-644-3340

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	01/08/2026

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Directions to “TATTNALL HOSPITAL COMPANY LLC ” Practice Location

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