# TAYLOR REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Regional Hospital EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124192604
- **Authorized official:** MRS. SANDRA G HERNDON (COMPTROLLER)
- **Authorized official phone:** (478) 783-0200

## Contact information

- **Practice address:** 222 PERRY HWY, HAWKINSVILLE, GA 31036-6748
- **Practice address phone:** (478) 783-0200
- **Practice address fax:** (478) 783-2731
- **Mailing address:** PO BOX 1297, HAWKINSVILLE, GA 31036-7297
- **Mailing address phone:** (478) 783-0200
- **Mailing address fax:** (478) 892-0518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 116-05 | GA | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 12/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000001548C | — | GA |