West Georgia Medical Center Dme

LBN: Lagrange Troup County Hospital Authority
West Georgia Medical Center Dme is an health care organization with primary practice located at 1514 Vernon Rd , Lagrange GA 30240-4131. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Lagrange Troup County Hospital Authority can be contacted via phone (706) 882-1411, or through Fulks, Gerald N via phone (706) 845-3244.

Contact Information

Primary practice address
1514 Vernon Rd Lagrange GA 30240-4131
Phone: (706) 882-1411
Fax: (706) 845-3902
Website:
Map and Directions
Authorized official contact:
Name: Fulks, Gerald N
Phone: (706) 845-3244

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1679547921
LBN Legal business name Lagrange Troup County Hospital Authority
DBA Doing business as West Georgia Medical Center Dme
Authorized official Fulks, Gerald N
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Nov 5th, 2007 - about 17 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 1679547921 NPPES
Georgia MEDICAID 00002065D

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