MEDICARE: HHC ST. SIMONS 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	283Q00000X	Psychiatric Hospital	063625	GA

General Provider Information

NPI Number	:	1972557916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HHC ST. SIMONS INC

Provider Business Mailing Address
First Line	:	2927 DEMERE RD
Second Line	:
City	:	SAINT SIMONS ISLAND
State	:	GA
Zip	:	31522-1620
Country	:	US
Telephone Number	:	912-638-1999
Fax Number	:	912-634-8416

Provider Business Practice Location Address
First Line	:	2927 DEMERE RD
Second Line	:
City	:	SAINT SIMONS ISLAND
State	:	GA
Zip	:	31522-1620
Country	:	US
Telephone Number	:	912-638-1999
Fax Number	:	912-634-8416

Authorized Official
Title or Position	:	SR VP CFO
Name	:	STEVE FILTON
Credential	:
Telephone Number	:	610-738-3300

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	03/15/2011

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Directions to “HHC ST. SIMONS INC ” Practice Location

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