# FAYETTE COMMUNITY HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piedmont Fayette Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528027240
- **Authorized official:** MR. ROBERT C CROSS (VP, GOVERNMENT REIMBURSEMENT)
- **Authorized official phone:** (470) 271-3401

## Contact information

- **Practice address:** 1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
- **Practice address phone:** (770) 719-7071
- **Practice address fax:** (770) 719-7092
- **Mailing address:** 1255 HIGHWAY 54 W, PATIENT FINANCIAL SERVICES, FAYETTEVILLE, GA 30214-4526
- **Mailing address phone:** (770) 719-7071
- **Mailing address fax:** (770) 719-7092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 056-550 | GA | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 02/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00755323A | — | GA |
| 01 | — | CG7492 | MEDICARE RAIL ROAD PART B | GA |
