MEDICARE: HUTCHESON MEDICAL CENTER 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
1	251E00000X	Home Health Agency	023 184	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1932175056
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUTCHESON MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	100 MITCHELL RD
Second Line	:
City	:	FT OGLETHORPE
State	:	GA
Zip	:	30742-3683
Country	:	US
Telephone Number	:	706-866-8881
Fax Number	:	706-858-3104

Provider Business Practice Location Address
First Line	:	100 MITCHELL RD
Second Line	:
City	:	FT OGLETHORPE
State	:	GA
Zip	:	30742-3683
Country	:	US
Telephone Number	:	706-866-8881
Fax Number	:	706-858-3104

Authorized Official
Title or Position	:	DIRECTOR HOME HEALTH
Name	:	MRS. PATTI NETHERY
Credential	:	RN
Telephone Number	:	707-866-8881

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	01/31/2008

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