# EVANS MEMORIAL HOSPITAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1104350057
- **Authorized official:** MR. JOHN W WIGGINS (CFO)
- **Authorized official phone:** (912) 739-5139

## Contact information

- **Practice address:** 200 N RIVER ST, CLAXTON, GA 30417-1659
- **Practice address phone:** (912) 739-2611
- **Practice address fax:** (912) 739-5101
- **Mailing address:** 200 N RIVER ST, CLAXTON, GA 30417-1659
- **Mailing address phone:** (912) 739-2611
- **Mailing address fax:** (912) 739-5101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 054526 | GA | Yes |

## Other

- **Enumeration date:** 04/18/2017
- **Last updated:** 04/18/2017