Organization
CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
Active
Other names
Lanier Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT E LEROY (CIO)
(334) 756-9180
Entity
Organization
Contact information
Practice address
4800 48TH ST, VALLEY, AL 36854-3666
(334) 756-9180
(334) 756-5874
Mailing address
4800 48TH ST, VALLEY, AL 36854-3666
(334) 756-9180
(334) 756-6678
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
10478
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00061773A
—
GA
01
—
010076
BCBS HOSP PROVIDER #
AL
01
—
1912929068
FAGAN NPI
AL
05
—
529929850
—
AL
05
—
HOS0025H
—
AL
05
—
PEC0025H
—
AL
Enumeration date
05/27/2005
Last updated
08/07/2012
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