Pruitthealth - Griffin

LBN: Pruitthealth - Griffin, Llc
Pruitthealth - Griffin is an health care organization with primary practice located at 619 Northside Dr , Griffin GA 30223-1402. 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 - Griffin, Llc can be contacted via phone (770) 228-4517, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
619 Northside Dr Griffin GA 30223-1402
Phone: (770) 228-4517
Fax: (770) 412-9145
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-126-1395 Georgia

Profile Details

NPI number 1447207964
LBN Legal business name Pruitthealth - Griffin, Llc
DBA Doing business as Pruitthealth - Griffin
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2006
Last updated May 14th, 2015 - 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 1447207964 NPPES
Georgia MEDICAID 00143052A

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