# HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Georgia Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306896253
- **Authorized official:** MRS. JULIE HODGES (CONTROLLER)
- **Authorized official phone:** (229) 259-4140

## Contact information

- **Practice address:** 2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
- **Practice address phone:** (229) 433-1000
- **Mailing address:** PO BOX 9, VALDOSTA, GA 31603-0009
- **Mailing address phone:** (229) 433-1000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | 92141 | GA | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | 92141 | GA | — |
| 261QU0200X | Urgent Care Clinic/Center | 92141 | GA | — |
| 282N00000X | General Acute Care Hospital | 92141 | GA | Yes |
| 341600000X | Ambulance | 09201 | GA | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000001724A | — | GA |
| 05 | — | 000001724B | — | GA |
| 05 | — | 000001724G | — | GA |