Twin Fountains Home

LBN: West Georgia Medical Center, Inc.
Twin Fountains Home is an health care organization with primary practice located at 1400 Hogansville Rd , Lagrange GA 30241-1422. 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. West Georgia Medical Center, Inc. can be contacted via phone (706) 882-0121, or through Budzinski, Anthony J via phone (470) 644-0012.

Contact Information

Primary practice address
1400 Hogansville Rd Lagrange GA 30241-1422
Phone: (706) 882-0121
Fax: (706) 882-0123
Website:
Map and Directions
Authorized official contact:
Name: Budzinski, Anthony J
Phone: (470) 644-0012

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1467685784
LBN Legal business name West Georgia Medical Center, Inc.
DBA Doing business as Twin Fountains Home
Authorized official Budzinski, Anthony J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2009
Last updated Feb 24th, 2020 - 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 1467685784 NPPES
Georgia MEDICAID 00142843A

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