| Memorial Health University Medical Center Inc. | |
|
5002 Waters Ave Savannah GA 31404-6226 | |
| (912) 350-2324 | |
| (912) 350-5824 |
| Full Name | Memorial Health University Medical Center Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5002 Waters Ave, Savannah, Georgia |
| Authorized Official Name and Position | Laura Dow (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9123508613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Health University Medical Center Inc. 4700 Waters Ave Savannah GA 31404-6220 Ph: (912) 350-3719 | Memorial Health University Medical Center Inc. 5002 Waters Ave Savannah GA 31404-6226 Ph: (912) 350-2324 |
| NPI Number | 1194829580 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 05/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194829580 | NPI | - | NPPES |
| 001216 | Other | GA | BLUE CROSS BLUE SHIELD |
| 10006521 | Other | GA | MEDICAID CMO |
| 117736 | Medicaid | SC | |
| 00001273A | Medicaid | GA | |
| 456640 | Medicaid | SC | |
| 486 | Other | GA | MEDICAID CMO |
| 091693500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 025-377 (Georgia) | Primary |
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