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NPI Code Detail

MEDICARE: CHATUGE REGIONAL HOSPITAL INC

MEDICARE: CHATUGE REGIONAL 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
1282NC0060XCritical Access Hospital139-583GA
2275N00000XMedicare Defined Swing Bed Hospital Unit

General Provider Information

NPI Number : 1982873212
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHATUGE REGIONAL HOSPITAL INC
Provider Business Mailing Address
First Line : 110 S MAIN ST
Second Line :
City : HIAWASSEE
State : GA
Zip : 30546-3408
Country : US
Telephone Number : 706-896-2222
Fax Number : 706-896-7872
Provider Business Practice Location Address
First Line : 110 S MAIN ST
Second Line :
City : HIAWASSEE
State : GA
Zip : 30546-3408
Country : US
Telephone Number : 706-896-2222
Fax Number : 706-896-7872
Authorized Official
Title or Position : CONTROLLER
Name : DEBBIE SELF
Credential :
Telephone Number : 706-896-7109
Provider Enumeration Date : 02/20/2008
Last Update Date : 11/15/2023

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1679998942 — CHATUGE REGIONAL HOSPITAL INC
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Directions to “CHATUGE REGIONAL HOSPITAL INC ” Practice Location

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