Healthcare Provider Details

I. General information

NPI: 1871662692
Provider Name (Legal Business Name): MERIWETHER COUNTY HOSPITAL AUTHORITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5995 SPRING STREET
WARM SPRINGS GA
31830-0008
US

IV. Provider business mailing address

PO BOX 8 5995 SPRING STREET
WARM SPRINGS GA
31830-0008
US

V. Phone/Fax

Practice location:
  • Phone: 706-655-3331
  • Fax: 706-655-9243
Mailing address:
  • Phone: 706-655-3331
  • Fax: 706-655-9243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHH007769
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHRE008857
License Number StateGA

VIII. Authorized Official

Name: DR. RICHARD FOSTER BUCHANAN
Title or Position: DIRECTOR OF PHARMACY
Credential: PD
Phone: 706-655-9244