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Contact Information

AUGUSTA STATE MEDICAL PRISON
3001 GORDON HWY
GROVETOWN, GA30813-3808
 Phone: 706-855-4744
 Fax: 706-869-7990
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AUGUSTA STATE MEDICAL PRISON

NPI # 1902397151
LBN Legal business name AUGUSTA STATE MEDICAL PRISON
Authorized official ELAINE REIFINGER - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/23/2018
Last updated 05/23/2018 - About 8 years ago
Identifiers
GA License # PHH006083
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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