Medical Group Of Mitchell County

LBN: Hospital Authority Of Mitchell County
Medical Group Of Mitchell County is an health care organization with primary practice located at 259 Us Highway 19 North , Camilla GA 31730-1410. 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) 336-1949, or through Hembree, Greg via phone (229) 228-2853.

Contact Information

Primary practice address
259 Us Highway 19 North Camilla GA 31730-1410
Fax: (229) 336-1436
Website:
Authorized official contact:
Name: Hembree, Greg

Health care specialties

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

Profile Details

NPI number 1922211515
LBN Legal business name Hospital Authority Of Mitchell County
DBA Doing business as Medical Group Of Mitchell County
Authorized official Hembree, Greg
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Apr 25th, 2019 - about 6 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 1922211515 NPPES
Georgia Other 11D1056726 CLIA
Georgia MEDICAID 841859123C CLIA

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