Jeff Davis Hospital

LBN: Hospital Authority Of Jeff Davis County Georgia
Jeff Davis Hospital is an health care organization with primary practice located at 163 S Tallahassee St , Hazlehurst GA 31539-1690. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Hospital Authority Of Jeff Davis County Georgia can be contacted via phone (912) 375-7781, or through Bloom, Barry via phone (912) 375-7781.

Contact Information

Primary practice address
163 S Tallahassee St Hazlehurst GA 31539-1690
Phone: (912) 375-7781
Fax: (912) 375-4055
Website:
Map and Directions
Authorized official contact:
Name: Bloom, Barry
Phone: (912) 375-7781

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X Georgia

Profile Details

NPI number 1912902263
LBN Legal business name Hospital Authority Of Jeff Davis County Georgia
DBA Doing business as Jeff Davis Hospital
Authorized official Bloom, Barry
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 21st, 2022 - 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 1912902263 NPPES
Georgia MEDICAID 000001009A

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