Organization
SCREVEN COUNTY HOSPITAL LLC
Active
Organization
SCREVEN COUNTY HOSPITAL LLC
Active
Other names
Optim Medical Center - Screven
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ALEX VILLA (CEO)
(760) 468-7765
Entity
Organization
Contact information
Practice address
215 MIMS RD, SYLVANIA, GA 30467-1994
(912) 564-7426
(912) 564-0010
Mailing address
460 MALL BLVD STE B, SAVANNAH, GA 31406-4891
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
124-164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001647S
—
GA
Enumeration date
11/16/2010
Last updated
12/06/2024
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