Organization
PIEDMONT MOUNTAINSIDE HOSPITAL, INC
Active
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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