Organization
HOSPITAL AUTHORITY OF BEN HILL
Active
Other names
Blue Gray Community Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA M PAUL (BILLING SUPERVISOR)
(229) 424-7100
Entity
Organization
Contact information
Practice address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7100
Mailing address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7100
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00653232A
—
GA
Enumeration date
10/19/2006
Last updated
04/09/2008
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