West Georgia Dialysis

LBN: Lagrange Troup County Hospital Authority
West Georgia Dialysis is an health care organization with primary practice located at 140 Glenn Bass Road , Lagrange GA 30240-5809. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Lagrange Troup County Hospital Authority can be contacted via phone (706) 845-3282, or through Fulks, Gerald N via phone (706) 845-3244.

Contact Information

Primary practice address
140 Glenn Bass Road Lagrange GA 30240-5809
Phone: (706) 845-3282
Fax: (706) 845-3474
Website:
Map and Directions
Authorized official contact:
Name: Fulks, Gerald N
Phone: (706) 845-3244

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1770557340
LBN Legal business name Lagrange Troup County Hospital Authority
DBA Doing business as West Georgia Dialysis
Authorized official Fulks, Gerald N
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2006
Last updated Nov 5th, 2007 - about 18 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 1770557340 NPPES
Georgia MEDICAID 00409186A

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