Mayo Clinic Health System In Waycross

LBN: Mayo Clinic Health System In Waycross
Mayo Clinic Health System In Waycross is an health care organization with primary practice located at 1900 Tebeau Street , Waycross GA 31501-5246. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Mayo Clinic Health System In Waycross can be contacted via phone (912) 287-2640, or through Wheeler, Benjamin Randolph via phone (912) 287-2506.

Contact Information

Primary practice address
1900 Tebeau Street Waycross GA 31501-5246
Phone: (912) 287-2640
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Benjamin Randolph
Phone: (912) 287-2506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X PHRE005914 Georgia

Profile Details

NPI number 1831393107
LBN Legal business name Mayo Clinic Health System In Waycross
DBA Doing business as Mayo Clinic Health System In Waycross
Authorized official Wheeler, Benjamin Randolph
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated Mar 7th, 2023 - about last year

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 1831393107 NPPES
Georgia Other 108000306 MEDCO
Georgia Other 1155476 MEDCO
Georgia Other PHRE005914 MEDCO

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