# HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
- **Other names:** Smith Northview Hospital, A Campus of South Georgia Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780023911
- **Legal business name:** HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
- **Authorized official:** MR. JACK RANDALL SAULS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (229) 333-1020

## Contact information

- **Practice address:** 4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
- **Practice address phone:** (229) 433-8000
- **Mailing address:** PO BOX 0070, VALDOSTA, GA 31603-0070
- **Mailing address phone:** (229) 433-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 092-141 | GA | Yes |

## Other

- **Enumeration date:** 06/20/2013
- **Last updated:** 06/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000001724G | — | GA |