Montgomery Internal Medicine

LBN: Lower Oconee Community Hospital, Inc
Montgomery Internal Medicine is an health care organization with primary practice located at 441 W Broad Street , Mount Vernon GA 30445-2629. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Lower Oconee Community Hospital, Inc can be contacted via phone (912) 583-2229, or through Fowler, Lynan via phone (912) 523-5113.

Contact Information

Primary practice address
441 W Broad Street Mount Vernon GA 30445-2629
Phone: (912) 583-2229
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fowler, Lynan
Phone: (912) 523-5113

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 208152021 Georgia

Profile Details

NPI number 1164547287
LBN Legal business name Lower Oconee Community Hospital, Inc
DBA Doing business as Montgomery Internal Medicine
Authorized official Fowler, Lynan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 11th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164547287 NPPES
Georgia MEDICAID 324829478B

Popular Providers