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NPI Code Detail

MEDICARE: UNION COUNTY HOSPITAL AUTHORITY

MEDICARE: UNION COUNTY HOSPITAL AUTHORITY
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
1314000000XSkilled Nursing Facility11444612GA

Other Identifiers

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

General Provider Information

NPI Number : 1902867732
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNION COUNTY HOSPITAL AUTHORITY
Provider Business Mailing Address
First Line : 164 NURSING HOME CIR
Second Line :
City : BLAIRSVILLE
State : GA
Zip : 30512-3117
Country : US
Telephone Number : 706-745-4948
Fax Number : 706-745-1971
Provider Business Practice Location Address
First Line : 164 NURSING HOME CIR
Second Line :
City : BLAIRSVILLE
State : GA
Zip : 30512-3117
Country : US
Telephone Number : 706-745-4948
Fax Number : 706-745-1971
Authorized Official
Title or Position : CFO
Name : MR. NICHOLAS COLBY TOWNSEND
Credential :
Telephone Number : 706-745-2111
Provider Enumeration Date : 03/31/2006
Last Update Date : 11/05/2024

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Directions to “UNION COUNTY HOSPITAL AUTHORITY ” Practice Location

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