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Organization
FAYETTE COMMUNITY HOSPITAL, INC.
Active
Organization
FAYETTE COMMUNITY HOSPITAL, INC.
Active
Other names
Piedmont Fayette Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C CROSS (VP, GOVERNMENT REIMBURSEMENT)
(470) 271-3401
Entity
Organization
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7071
(770) 719-7092
Mailing address
1255 HIGHWAY 54 W, PATIENT FINANCIAL SERVICES, FAYETTEVILLE, GA 30214-4526
(770) 719-7071
(770) 719-7092
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
056-550
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00755323A
—
GA
01
—
CG7492
MEDICARE RAIL ROAD PART B
GA
Enumeration date
03/21/2006
Last updated
02/26/2024
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