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Contact Information

BETHANY HOSPICE AND PALLIATIVE CARE OF COASTAL GEORGIA, LLC
109 S DUVAL ST
CLAXTON, GA30417-2029
 Phone: 912-739-0058
 Fax: 912-739-0350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BETHANY HOSPICE AND PALLIATIVE CARE OF COASTAL GEORGIA, LLC

NPI # 1548501000
LBN Legal business name BETHANY HOSPICE AND PALLIATIVE CARE OF COASTAL GEORGIA, LLC
Authorized official CHRISTOPHER SMITH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2013
Last updated 10/23/2025 - About 7 months ago
Identifiers
GA License # 054-0285-H
GA Medicaid 7614683444A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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