The Camilla Pediatric Center

LBN: Hospital Authority Of Mitchell County
The Camilla Pediatric Center is an health care organization with primary practice located at 25 Perry St , Camilla GA 31730-1852. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Hospital Authority Of Mitchell County can be contacted via phone (229) 336-7472, or through Hembree, Greg via phone (229) 228-2853.

Contact Information

Primary practice address
25 Perry St Camilla GA 31730-1852
Phone: (229) 336-7472
Fax: (229) 336-1661
Website:
Map and Directions
Authorized official contact:
Name: Hembree, Greg
Phone: (229) 228-2853

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 101120 Georgia

Profile Details

NPI number 1366472003
LBN Legal business name Hospital Authority Of Mitchell County
DBA Doing business as The Camilla Pediatric Center
Authorized official Hembree, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Apr 25th, 2019 - about 5 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 1366472003 NPPES
Georgia MEDICAID 000001339G
Georgia Other 11D0909917

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