NPI Code Details Logo

NPI 1023332970

NPI 1023332970 : HOSPITAL AUTHORITY OF WILKES COUNTY : WASHINGTON, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023332970
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HOSPITAL AUTHORITY OF WILKES COUNTY 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/22/2010
-----------------------------------------------------
    Last Update Date     |    02/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    212 HOSPITAL DR 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30673-5619
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-678-6944
-----------------------------------------------------
    Fax                  |    706-678-6945
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    212 HOSPITAL DR 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30673-5619
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    706-678-6944
-----------------------------------------------------
    Fax                  |    706-678-6945
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     TRACIE  HAUGHEY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    706-678-9212
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.