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Organization

PIEDMONT MOUNTAINSIDE HOSPITAL, INC

Active
Other names
Piedmont Mountainside Hosptial Swing Bed Unit
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ED LOVERN (CEO)
(706) 301-5269
Entity
Organization

Contact information

Practice address
1266 HIGHWAY 515 S, JASPER, GA 30143-4872
(706) 301-5269
(706) 692-0939
Mailing address
1266 HIGHWAY 515 S, PATIENT FINANCIAL SERVICES, JASPER, GA 30143-4872
(706) 301-5269
(706) 692-0939

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
112-619
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00001493S
GA
Enumeration date
03/24/2006
Last updated
05/30/2012
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