Jefferson Hospital | |
1067 Peachtree St Louisville GA 30434-1558 | |
(478) 625-7000 | |
Not Available |
Full Name | Jefferson Hospital |
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Speciality | Psychiatric Unit |
Location | 1067 Peachtree St, Louisville, Georgia |
Authorized Official Name and Position | Jessica Guy (ASSISTANT ADMINISTRATOR) |
Authorized Official Contact | 4786257000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jefferson Hospital 1067 Peachtree St Louisville GA 30434-1558 Ph: (478) 625-7000 | Jefferson Hospital 1067 Peachtree St Louisville GA 30434-1558 Ph: (478) 625-7000 |
NPI Number | 1417554437 |
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Provider Enumeration Date | 10/02/2020 |
Last Update Date | 10/06/2020 |
Certification Date | 10/06/2020 |
Medicare PECOS PAC ID | 7214823046 |
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Medicare Enrollment ID | O20201030000342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417554437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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