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General NPI Number Information
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NPI Number | 1518354778
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Entity Type | Organization
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Legal Business Name | ST. MARY'S SACRED HEART HOSPITAL, INC.
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 367 CLEAR CREEK PKWY
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City | LAVONIA
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State | GA
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Zip | 30553-4173
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Country | US
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Telephone | 706-356-7800
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Fax | 706-356-7828
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Provider Business Mailing Address
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Address Line | 367 CLEAR CREEK PKWY
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City | LAVONIA
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State | GA
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Zip | 30553-4173
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Country | US
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Telephone | 706-356-7800
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Fax | 706-356-7828
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | STONISH PIERCE
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Credential |
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Telephone | 706-389-3930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number |
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License Number State |
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