Organization
MONROE HMA, LLC
Active
Other names
Clearview Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
2151 W SPRING ST, MONROE, GA 30655-3115
(770) 267-8461
(770) 267-1888
Mailing address
2151 W SPRING ST, MONROE, GA 30655-3115
(770) 267-8461
(770) 267-1888
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
147613
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000206778
—
GA
01
—
000465
BLUE CROSS GEORGIA
GA
Enumeration date
05/23/2006
Last updated
04/25/2016
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