National Provider Identifier Database

CHARLTON MEMORIAL HOSPITAL
Critical Access


Contact Information

CHARLTON MEMORIAL HOSPITAL
2449 THIRD ST
FOLKSTON, GA31537-8919
Phone: 912-496-2531
Fax: 912-496-7766
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for CHARLTON MEMORIAL HOSPITAL

NPI Number 1710099098
Legal business name
LBN
CHARLTON MEMORIAL HOSPITAL
Authorized official KIMBERLY SAVAGE - (CFO)
Entity Organization
Organization subpart No
Enumeration date 08/31/2006
Last updated 12/07/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 024-106
  • GA License #: 024106
  • FL Medicaid: 010341100
  • GA Medicaid: 000000338A0

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CHARLTON MEMORIAL HOSPITAL

There are currently no reviews for CHARLTON MEMORIAL HOSPITAL


NPIdb - Home
v2.201