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NPI Code Detail

MEDICARE: AUGUSTA HOSPITAL LLC

MEDICARE: AUGUSTA HOSPITAL 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
1282N00000XGeneral Acute Care Hospital121-629GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083616213
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUGUSTA HOSPITAL LLC
Provider Business Mailing Address
First Line : 2260 WRIGHTSBORO RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30904-4764
Country : US
Telephone Number : 706-481-7000
Fax Number : 706-481-7867
Provider Business Practice Location Address
First Line : 2260 WRIGHTSBORO RD
Second Line :
City : AUGUSTA
State : GA
Zip : 30904-4764
Country : US
Telephone Number : 706-481-7000
Fax Number : 706-481-7867
Authorized Official
Title or Position : VP PATIENT FINANCIAL SERVICES
Name : TARA P RICHARDSON
Credential :
Telephone Number : 615-221-3672
Provider Enumeration Date : 06/01/2005
Last Update Date : 04/29/2016

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Directions to “AUGUSTA HOSPITAL LLC ” Practice Location

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