Organization
CHATUGE REGIONAL HOSPITAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE SELF (CONTROLLER)
(706) 439-6812
Entity
Organization
Contact information
Practice address
110 S MAIN ST, HIAWASSEE, GA 30546-3408
(706) 896-7109
(706) 896-5254
Mailing address
PO BOX 509, HIAWASSEE, GA 30546-0509
(706) 896-7109
(706) 896-5254
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001966A
—
GA
01
—
2168244
PK
—
Enumeration date
01/19/2006
Last updated
02/15/2024
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