| Memorial Satilla Health | |
|
1900 Tebeau St Waycross GA 31501-6357 | |
| (912) 283-3030 | |
| (912) 287-2505 |
| Full Name | Memorial Satilla Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1900 Tebeau St, Waycross, Georgia |
| Authorized Official Name and Position | Tim Lynch (INTERIM CFO) |
| Authorized Official Contact | 9122872500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Satilla Health 1900 Tebeau St Waycross GA 31501-6357 Ph: (912) 283-3030 | Memorial Satilla Health 1900 Tebeau St Waycross GA 31501-6357 Ph: (912) 283-3030 |
| NPI Number | 1093248486 |
|---|---|
| Provider Enumeration Date | 04/04/2017 |
| Last Update Date | 04/04/2017 |
| Medicare PECOS PAC ID | 8123395928 |
|---|---|
| Medicare Enrollment ID | O20170713002941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093248486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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