Memorial Health Hospitalists

LBN: Provident Health Services, Inc.
Memorial Health Hospitalists is an health care organization with primary practice located at 4700 Waters Ave Memorial Health Hospitalists, Savannah GA 31404-6220. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is the primary health care specialty. Provident Health Services, Inc. can be contacted via phone (912) 350-2155, or through Maddox, Robin J. via phone (912) 350-9335.

Contact Information

Primary practice address
4700 Waters Ave Memorial Health Hospitalists Savannah GA 31404-6220
Fax: (912) 350-2156
Website:
Authorized official contact:
Name: Maddox, Robin J.

Profile Details

NPI number 1740341783
LBN Legal business name Provident Health Services, Inc.
DBA Doing business as Memorial Health Hospitalists
Authorized official Maddox, Robin J.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Jun 4th, 2009 - about 15 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 1740341783 NPPES
South Carolina Other DF7661 RR MEDICARE
South Carolina MEDICAID 609293670A RR MEDICARE
South Carolina Other DA3772 RR MEDICARE
South Carolina MEDICAID GPA921 RR MEDICARE

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