Healthcare Provider Details

I. General information

NPI: 1730337460
Provider Name (Legal Business Name): AIKEN REGIONAL MEDICAL CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2008
Last Update Date: 09/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 SARAH CREEK CT
MARTINEZ GA
30907-1223
US

IV. Provider business mailing address

213 SARAH CREEK CT
MARTINEZ GA
30907-1223
US

V. Phone/Fax

Practice location:
  • Phone: 706-855-0272
  • Fax:
Mailing address:
  • Phone: 706-855-0272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberR 87446
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberRN153009
License Number StateGA

VIII. Authorized Official

Name: MR. DAVID GARDNER
Title or Position: REGISTERED NURSE- NURSE MANAGER
Credential:
Phone: 803-641-5000