Organization
HOSPITAL AUTHORITY OF BEN HILL
Active
Other names
Dorminy Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAIGE PAULK WYNN CPA (CHIEF FINANCIAL OFFICER)
(229) 424-7100
Entity
Organization
Contact information
Practice address
200 PERRY HOUSE RD, FITZGERALD, GA 31750-8857
(229) 424-7100
(229) 424-7281
Mailing address
200 PERRY HOUSE RD, PO BOX 1447, FITZGERALD, GA 31750-8857
(229) 424-7100
(229) 424-7281
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
009-288
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000613D
—
GA
01
—
00082
BLUE CROSS PROVIDER #
GA
Enumeration date
08/09/2006
Last updated
04/09/2008
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