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General NPI Number Information
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NPI Number | 1881798965
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Entity Type | Organization
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Legal Business Name | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC.
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 05/15/2017
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Provider Practice Location Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-7109
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Fax | 912-350-3058
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Provider Business Mailing Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-3719
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Fax | 912-350-3948
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | LAURA DOW
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Credential | CPA
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Telephone | 912-350-8613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 025-377
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License Number State | GA
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