Clinch County Hospital Authority

LBN: Clinch County Hospital Authority
Clinch County Hospital Authority is an health care organization with primary practice located at 1050 Valdosta Hwy , Homerville GA 31634-2418. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Transportation Services / Ambulance. Hospitals / Critical Access is the primary health care specialty. Clinch County Hospital Authority can be contacted via phone (912) 487-5211, or through Ammons, Angela P. via phone (912) 487-5211.

Contact Information

Primary practice address
1050 Valdosta Hwy Homerville GA 31634-2418
Phone: (912) 487-5211
Fax: (912) 487-4334
Website:
Map and Directions
Authorized official contact:
Name: Ammons, Angela P.
Phone: (912) 487-5211

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 032-634 Georgia
Transportation Services / Ambulance 341600000X 032-01 Georgia

Profile Details

NPI number 1861478851
LBN Legal business name Clinch County Hospital Authority
DBA Doing business as
Authorized official Ammons, Angela P.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2005
Last updated Dec 20th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861478851 NPPES
Georgia MEDICAID 00000415A

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