# REDMOND PARK HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVENTHEALTH REDMOND, REDMOND REGIONAL MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508810565
- **Authorized official:** JEFFREY PRUSIA (CFO)
- **Authorized official phone:** (706) 802-3035

## Contact information

- **Practice address:** 501 REDMOND RD NW, ROME, GA 30165-1415
- **Practice address phone:** (706) 291-0291
- **Practice address fax:** (706) 291-0971
- **Mailing address:** 501 REDMOND RD NW, ROME, GA 30165-1415
- **Mailing address phone:** (706) 291-0291
- **Mailing address fax:** (706) 291-0971

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 03/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001581A | — | GA |
| 05 | — | 0110168 | — | TN |
| 01 | — | 100069 | BLUE CROSS | GA |
| 01 | — | 156120400 | DEPT OF LABOR | — |
| 05 | — | 200044050A | — | OK |
| 01 | — | 7153 | BLUECARE | TN |
| 05 | — | 902540500 | — | FL |
| 05 | — | HOS0168P | — | AL |