National Provider Identifier Database

DODGE COUNTY HOSPITAL AUTHORITY
Rural


Contact Information

DODGE COUNTY HOSPITAL AUTHORITY
901 GRIFFIN AVE
EASTMAN, GA31023-6720
Phone: 478-448-4091
Fax: 478-448-4088
Website:
Specialty Taxonomy Code
* Rural 282NR1301X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for DODGE COUNTY HOSPITAL AUTHORITY

NPI Number 1740272095
Legal business name
LBN
DODGE COUNTY HOSPITAL AUTHORITY
Authorized official JAN HAMRICK - (CFO)
Entity Organization
Organization subpart No
Enumeration date 08/22/2005
Last updated 06/13/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 000000591A
  • GA Medicaid: 000000591B
  • Other: 000875 BC
  • Other: 00139 BC

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.

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