# GRADY GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013961507
- **Authorized official:** MR. GREGORY S. HEMBREE (CFO)
- **Authorized official phone:** (229) 228-2880

## Contact information

- **Practice address:** 1155 5TH ST SE, CAIRO, GA 39828-3142
- **Practice address phone:** (229) 377-1150
- **Practice address fax:** (229) 377-7953
- **Mailing address:** 920 CAIRO RD, THOMASVILLE, GA 31792-4255
- **Mailing address phone:** (229) 228-8800
- **Mailing address fax:** (229) 228-8892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 065-413 | GA | Yes |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 03/08/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000844A | — | GA |
| 01 | — | 000020 | BC/BS GA | GA |
| 01 | — | 110121A000000 | TRAILBLAZER | GA |