# EVANS MEMORIAL HOSPITAL, INC.

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

## Provider details

- **NPI number:** 1730110826
- **Authorized official:** JOHN W WIGGINS (CFO)
- **Authorized official phone:** (912) 739-5139

## Contact information

- **Practice address:** 200 N RIVER ST, CLAXTON, GA 30417-1659
- **Practice address phone:** (912) 739-5000
- **Practice address fax:** (912) 739-5106
- **Mailing address:** 200 N RIVER ST, CLAXTON, GA 30417-1659
- **Mailing address phone:** (912) 739-5000
- **Mailing address fax:** (912) 739-5106

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 054526 | GA | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 11/25/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000734A | — | GA |
| 05 | — | 000000734C | — | GA |