Sylvan Grove Hospital

LBN: Wellstar Sylvan Grove Hospital, Inc
Sylvan Grove Hospital is an health care organization with primary practice located at 1050 Mcdonough Rd , Jackson GA 30233-1524. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Wellstar Sylvan Grove Hospital, Inc can be contacted via phone (770) 775-7861, or through Buzdinski, Anthony J via phone (470) 644-0012.

Contact Information

Primary practice address
1050 Mcdonough Rd Jackson GA 30233-1524
Phone: (770) 775-7861
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buzdinski, Anthony J
Phone: (470) 644-0012

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X

Profile Details

NPI number 1386664779
LBN Legal business name Wellstar Sylvan Grove Hospital, Inc
DBA Doing business as Sylvan Grove Hospital
Authorized official Buzdinski, Anthony J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 24th, 2020 - about 5 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 1386664779 NPPES
Georgia MEDICAID 00001856A
Georgia MEDICAID 00791062E
Georgia MEDICAID 00885024B
Georgia MEDICAID 010492809(TRR)
Georgia MEDICAID 00282488B
Georgia MEDICAID 00495382D
Georgia Other 416159
Georgia Other 973964590
Georgia MEDICAID 00214607F
Georgia MEDICAID 085001319G
Georgia Other 004378
Georgia Other 152710726
Georgia MEDICAID 1703761
Georgia Other 23360
Georgia MEDICAID 00211549E
Georgia Other 000444
Georgia Other 111319B000000
Georgia MEDICAID 00001856S
Georgia MEDICAID 00715107T

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