# RESTORATION HEALTHCARE OF COMMERCE, LLC

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

## Provider details

- **NPI number:** 1427376136
- **Authorized official:** MR. STEPHEN N CLAPP (PRESIDENT)
- **Authorized official phone:** (865) 607-9923

## Contact information

- **Practice address:** 70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
- **Practice address phone:** (706) 335-1000
- **Practice address fax:** (706) 335-7701
- **Mailing address:** 70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
- **Mailing address phone:** (706) 335-1000
- **Mailing address fax:** (706) 335-7701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | 78-12 | GA | — |
| 282N00000X | General Acute Care Hospital | 78-12 | GA | Yes |

## Other

- **Enumeration date:** 05/06/2010
- **Last updated:** 05/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000151A | — | GA |
| 01 | — | 11U040 | SWING BED PROVIDER NUMBER | GA |