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NPI Code Detail

MEDICARE: LANDMARK HOSPITAL OF SAVANNAH LLC

MEDICARE: LANDMARK HOSPITAL OF SAVANNAH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282E00000XLong Term Care Hospital

General Provider Information

NPI Number : 1023436102
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANDMARK HOSPITAL OF SAVANNAH LLC
Provider Business Mailing Address
First Line : 3255 INDEPENDENCE ST
Second Line :
City : CAPE GIRARDEAU
State : MO
Zip : 63701-4914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 E 68TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4710
Country : US
Telephone Number : 912-298-1000
Fax Number :
Authorized Official
Title or Position : CFO
Name : TRACY LYNNE BOLLINGER
Credential : CPA
Telephone Number : 573-450-2530
Provider Enumeration Date : 04/04/2014
Last Update Date : 01/26/2023

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Directions to “LANDMARK HOSPITAL OF SAVANNAH LLC ” Practice Location

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