Pruitthealth - Blue Ridge

LBN: Pruitthealth - Blue Ridge, Llc
Pruitthealth - Blue Ridge is an health care organization with primary practice located at 99 Ouida St , Blue Ridge GA 30513-4627. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pruitthealth - Blue Ridge, Llc can be contacted via phone (706) 632-2271, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
99 Ouida St Blue Ridge GA 30513-4627
Fax: (706) 632-7633
Website:
Authorized official contact:
Name: Pruitt, Neil L

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-055-1198 Georgia

Profile Details

NPI number 1730136599
LBN Legal business name Pruitthealth - Blue Ridge, Llc
DBA Doing business as Pruitthealth - Blue Ridge
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated Apr 7th, 2021 - about 4 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 1730136599 NPPES
Georgia MEDICAID 00140973A

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