Pruitthealth Hospice - Valdosta
LBN: Pruitthealth Hospice, Inc
Pruitthealth Hospice - Valdosta is an health care organization with primary practice located at 407 Cowart Ave , Valdosta GA 31602-2635. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Agencies / Hospice Care, Community Based. Agencies / Hospice Care, Community Based is the primary health care specialty.
Pruitthealth Hospice, Inc can be contacted via phone (229) 242-1187, or through Pruitt, Neil L via phone (770) 925-1143.
Contact Information
Primary practice address
407 Cowart Ave
Valdosta GA 31602-2635
Phone: (229) 242-1187
Fax: (229) 242-0562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ||
| Agencies / Hospice Care, Community Based | 251G00000X |
Profile Details
| NPI number | 1063450666 |
|---|---|
| LBN Legal business name | Pruitthealth Hospice, Inc |
| DBA Doing business as | Pruitthealth Hospice - Valdosta |
| Authorized official | Pruitt, Neil L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Sep 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063450666 | NPPES |
| Georgia | MEDICAID | 00849494A |
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