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Contact Information

HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
163 S TALLAHASSEE ST
HAZLEHURST, GA31539-6465
 Phone: 912-375-7781
 Fax: 912-375-4881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA

NPI # 1023593498
LBN Legal business name HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA
Authorized official BARRY BLOOM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2018
Last updated 06/23/2021 - About 5 years ago
Identifiers n/a
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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