Organization
LANIER HEALTH SERVICES, INC.
Active
Other names
Louis Smith Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK RANDALL SAULS (CHIEF EXECUTIVE OFFICER)
(229) 333-1020
Entity
Organization
Contact information
Practice address
116 W THIGPEN AVE, LAKELAND, GA 31635-1006
(229) 482-8401
(229) 482-8539
Mailing address
PO BOX 5888, ATTN: PFS DEPT., VALDOSTA, GA 31603-5888
(229) 482-8401
(229) 482-8539
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
086-102
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001163H
—
GA
01
—
HOSP110
CAHABA
GA
Enumeration date
05/17/2006
Last updated
03/28/2013
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