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Contact Information

LIBERTY REGIONAL MEDICAL CENTER
462 E G MILES PKWY
HINESVILLE, GA31313-4000
 Phone: 912-369-9478
 Fax: 800-611-2089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for LIBERTY REGIONAL MEDICAL CENTER

NPI # 1184641623
LBN Legal business name LIBERTY REGIONAL MEDICAL CENTER
Authorized official DEREK ROZIER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2006
Last updated 11/21/2024 - More than a year ago
Identifiers
GA License # PHRE008347
Other 2013760 PK
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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