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Organization
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Active
Organization
NORTHEAST GEORGIA MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN D STEINES (CFO)
(770) 219-3562
Entity
Organization
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
(678) 897-6694
Mailing address
PO BOX 741891, ATLANTA, GA 30374-1891
(770) 219-9000
(678) 897-6694
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
069074
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000888A
—
GA
05
—
000000888S
—
GA
05
—
00000888A
—
GA
01
—
000195
GEORGIA BLUE CROSS
GA
Enumeration date
06/30/2005
Last updated
04/22/2020
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