Mayo Clinic Health System In Waycross, Inc

LBN: Mayo Clinic Health System In Waycross, Inc
Mayo Clinic Health System In Waycross, Inc is an health care organization with primary practice located at 1900 Tebeau Street , Waycross GA 31501. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Mayo Clinic Health System In Waycross, Inc can be contacted via phone (912) 287-2500, or through Hoffman, George J via phone (912) 287-4213.

Contact Information

Primary practice address
1900 Tebeau Street Waycross GA 31501
Fax: (912) 287-2532
Website:
Authorized official contact:
Name: Hoffman, George J

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X Georgia

Profile Details

NPI number 1558334334
LBN Legal business name Mayo Clinic Health System In Waycross, Inc
DBA Doing business as
Authorized official Hoffman, George J
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2006
Last updated Aug 15th, 2016 - about 9 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 1558334334 NPPES
Georgia MEDICAID 300026014A
Georgia MEDICAID 300026014B
Georgia MEDICAID 000001229A

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