Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Organization
SOUTHERN HEALTH CORP OF ELLIJAY
Active
Other names
NORTH GEORGIA MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBIE SELF CFO (CHIEF FINANCIAL OFFICER)
(706) 276-4741
Entity
Organization
Contact information
Practice address
1362 S MAIN ST, ELLIJAY, GA 30540-5410
(706) 276-4741
(706) 276-4745
Mailing address
PO BOX 2239, ELLIJAY, GA 30540-0025
(706) 276-4741
(706) 276-4745
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
061-435
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002043S
—
GA
01
—
000692
GENERAL HOSPITAL
GA
Enumeration date
01/03/2007
Last updated
07/10/2007
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