# NORTHEAST GEORGIA MEDICAL CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST GEORGIA MEDICAL CENTER, INC.
- **Other names:** ERS/LIFELINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1790721942
- **Legal business name:** NORTHEAST GEORGIA MEDICAL CENTER, INC.
- **Authorized official:** BRIAN D STEINES (CFO)
- **Authorized official phone:** (770) 219-3562

## Contact information

- **Practice address:** 675 WHITE SULPHUR RD, SUITE 285, GAINESVILLE, GA 30501-8921
- **Practice address phone:** (770) 219-8899
- **Practice address fax:** (770) 219-8898
- **Mailing address:** 743 SPRING ST NE, GAINESVILLE, GA 30501-3715
- **Mailing address phone:** (770) 219-9000
- **Mailing address fax:** (770) 219-6694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 04/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00310362B | — | GA |