# HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI
- **Other names:** Memorial Hospital and Manor LTC Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1588186324
- **Legal business name:** HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI
- **Authorized official:** KAREN FAIRCLOTH (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (229) 243-6100

## Contact information

- **Practice address:** 1500 EAST SHOTWELL STREET, BAINBRIDGE, GA 39819
- **Practice address phone:** (229) 243-6100
- **Practice address fax:** (229) 243-3303
- **Mailing address:** 1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
- **Mailing address phone:** (229) 243-6100
- **Mailing address fax:** (229) 243-3303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2017
- **Last updated:** 07/21/2022