Organization
FAIRVIEW PARK, LIMITED PARTNERSHIP
Active
Other names
FAIRVIEW PARK HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M. NOBLES (CFO)
(478) 274-3103
Entity
Organization
Contact information
Practice address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 275-2000
(478) 272-0211
Mailing address
200 INDUSTRIAL BLVD, DUBLIN, GA 31021-2981
(478) 275-2000
(478) 272-0211
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001141A
—
GA
05
—
003123479
—
CT
05
—
02713293
—
NY
05
—
0413831
—
MT
05
—
11084A
—
SC
01
—
153
BLUE CROSS
GA
05
—
158180105
—
AR
01
—
166597300
DEPT OF LABOR
—
05
—
1702820
—
LA
05
—
200332480A
—
KS
05
—
2478439
—
OH
05
—
304845784
—
MI
01
—
4022419
BLUECARE
TN
05
—
4101901
—
NJ
05
—
807291800
—
ID
05
—
912418700
—
FL
Enumeration date
05/22/2006
Last updated
11/05/2025
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