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Organization
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC.
Active
Organization
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DOW CPA (CHIEF FINANCIAL OFFICER)
(912) 350-8613
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-7109
(912) 350-3058
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-3719
(912) 350-3948
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
025-377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001273A
—
GA
01
—
001217
BLUE CROSS BLUE SHIELD
GA
05
—
091693500
—
FL
01
—
10006521
MEDICAID CMO
GA
05
—
117736
—
SC
05
—
456640
—
SC
01
—
486
MEDICAID CMO
GA
01
—
FACILITY # 1405
NATIONALLY ASSIGNED
—
Enumeration date
09/11/2006
Last updated
05/15/2017
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