Healthcare Provider Details

I. General information

NPI: 1902867732
Provider Name (Legal Business Name): UNION COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 NURSING HOME CIR
BLAIRSVILLE GA
30512-3117
US

IV. Provider business mailing address

164 NURSING HOME CIR
BLAIRSVILLE GA
30512-3117
US

V. Phone/Fax

Practice location:
  • Phone: 706-745-4948
  • Fax: 706-745-1971
Mailing address:
  • Phone: 706-745-4948
  • Fax: 706-745-1971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number11444612
License Number StateGA

VIII. Authorized Official

Name: MR. NICHOLAS COLBY TOWNSEND
Title or Position: CFO
Credential:
Phone: 706-745-2111