# PIEDMONT HENRY HOSPITAL, INC.

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

## Provider details

- **NPI number:** 1225034333
- **Authorized official:** MR. ROBERT C CROSS (VP, GOVERNMENT REIMBURSEMENT)
- **Authorized official phone:** (470) 271-3401

## Contact information

- **Practice address:** 1133 EAGLES LANDING PARKWAY, STOCKBRIDGE, GA 30281-5085
- **Practice address phone:** (678) 604-1001
- **Practice address fax:** (678) 604-5580
- **Mailing address:** 1133 EAGLES LANDING PARKWAY, STOCKBRIDGE, GA 30281-5085
- **Mailing address phone:** (678) 604-1001
- **Mailing address fax:** (678) 604-5580

## Taxonomy

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

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 02/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00182388A | — | GA |
| 01 | — | 110191 | MEDICARE PTAN | GA |