Eastman Family Practice

LBN: Dodge County Hospital Authority
Eastman Family Practice is an health care organization with primary practice located at 840 Professional Center Dr , Eastman GA 31023-6734. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Dodge County Hospital Authority can be contacted via phone (478) 374-7801, or through Hamrick, Jan via phone (478) 448-4050.

Contact Information

Primary practice address
840 Professional Center Dr Eastman GA 31023-6734
Phone: (478) 374-7801
Fax: (478) 374-7878
Website:
Map and Directions
Authorized official contact:
Name: Hamrick, Jan
Phone: (478) 448-4050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1255948717
LBN Legal business name Dodge County Hospital Authority
DBA Doing business as Eastman Family Practice
Authorized official Hamrick, Jan
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 29th, 2020
Last updated Jun 13th, 2023 - about 2 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 1255948717 NPPES
Georgia MEDICAID 003257063A

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