# MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689776841
- **Authorized official:** LAURA DOW CPA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (912) 350-8613

## Contact information

- **Practice address:** 4700 WATERS AVE, SAVANNAH, GA 31404-6220
- **Practice address phone:** (912) 350-8000
- **Practice address fax:** (912) 350-3948
- **Mailing address:** 4700 WATERS AVE, SAVANNAH, GA 31404-6220
- **Mailing address phone:** (912) 350-8000
- **Mailing address fax:** (912) 350-3948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 025-377 | GA | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 05/15/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00001273A | — | GA |
| 01 | — | 000295 | BLUE CROSS BLUE SHIELD | GA |
| 05 | — | 091693500 | — | FL |
| 01 | — | 10006521 | MEDICAID CMO | GA |
| 05 | — | 117736 | — | SC |
| 05 | — | 456640 | — | SC |
| 01 | — | 486 | MEDICAID CMO | GA |