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NPI Code Detail

MEDICARE: CHATUGE REGIONAL HOSPITAL INC

MEDICARE: CHATUGE REGIONAL HOSPITAL INC
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
1208VP0014XInterventional Pain Medicine Physician
23336C0004XCompounding Pharmacy
3282NC0060XCritical Access Hospital

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22168244OTHERPK

General Provider Information

NPI Number : 1326028978
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHATUGE REGIONAL HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 509
Second Line :
City : HIAWASSEE
State : GA
Zip : 30546-0509
Country : US
Telephone Number : 706-896-7109
Fax Number : 706-896-5254
Provider Business Practice Location Address
First Line : 110 S MAIN ST
Second Line :
City : HIAWASSEE
State : GA
Zip : 30546-3408
Country : US
Telephone Number : 706-896-7109
Fax Number : 706-896-5254
Authorized Official
Title or Position : CONTROLLER
Name : DEBBIE SELF
Credential :
Telephone Number : 706-439-6812
Provider Enumeration Date : 01/19/2006
Last Update Date : 02/15/2024

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Directions to “CHATUGE REGIONAL HOSPITAL INC ” Practice Location

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