Healthcare Provider Details

I. General information

NPI: 1932175056
Provider Name (Legal Business Name): HUTCHESON MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MITCHELL RD
FT OGLETHORPE GA
30742-3683
US

IV. Provider business mailing address

100 MITCHELL RD
FT OGLETHORPE GA
30742-3683
US

V. Phone/Fax

Practice location:
  • Phone: 706-866-8881
  • Fax: 706-858-3104
Mailing address:
  • Phone: 706-866-8881
  • Fax: 706-858-3104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number023 184
License Number StateGA

VIII. Authorized Official

Name: MRS. PATTI NETHERY
Title or Position: DIRECTOR HOME HEALTH
Credential: RN
Phone: 707-866-8881