Healthcare Provider Details

I. General information

NPI: 1316243926
Provider Name (Legal Business Name): RICHMOND COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2011
Last Update Date: 11/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6698 WASHINGTON RD
APPLING GA
30802-4120
US

IV. Provider business mailing address

6698 WASHINGTON RD
APPLING GA
30802-4120
US

V. Phone/Fax

Practice location:
  • Phone: 706-541-0462
  • Fax: 706-541-0310
Mailing address:
  • Phone: 706-541-0462
  • Fax: 706-541-0310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateGA

VIII. Authorized Official

Name: MR. HUGH L HAMILTON
Title or Position: BOARD CHAIRMAN
Credential:
Phone: 706-774-8061