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A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in ?fixed? facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A ?fixed? facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the ?fixed? facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as ?pass-through? items.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Military General Acute Care Hospital |
2865M2000X |
| NPI Number | 1760670731 |
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| LBN Legal business name | CARL VINSON VA MEDICAL CENTER | ||||
| Authorized official | JAN HASKINS - (CREDENTIALING SPECIALIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/04/2007 | ||||
| Last updated | 10/04/2007 - About 19 years ago | ||||
| Identifiers |
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CARL VINSON VA MEDICAL CENTER
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| ABIGAIL D LEONE, LPC 246 NEW COVENANT RD. ABBEVILLE, GA |
| ISAIAS M MARTINEZ JR 2546 WOOD BEND LN 30296, GA |
| CHRISTOPHER J JACKSON, MD 720 WESTVIEW DR SW, ATLANTA, GA, 30310 720 WESTVIEW DRIVE SW, GA |
| ALEXIS N WALLACE, MD AUGUSTA UNIVERSITY MEDICAL CENTER 1120 15TH ST, GA |
| MEAGAN M DANTONE, DO 49 JESSE HILL DR SE 30303, GA |
CARL VINSON VA MEDICAL CENTER