Organization
BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC
Active
Parent organization
FANNIN REGIONAL HOSPITAL, INC.
Other names
Fannin Regional Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
FANNIN REGIONAL HOSPITAL, INC.
Authorized official
RANDY MICHAEL COOPER (SVP FINANCE OPERATIONS/AO)
(615) 221-3840
Entity
Organization
Contact information
Practice address
2855 OLD HIGHWAY 5, BLUE RIDGE, GA 30513-6248
(706) 632-3711
(760) 632-7216
Mailing address
PO BOX 198161, ATLANTA, GA 30384-8161
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
055-452
GA
Other
Enumeration date
02/02/2006
Last updated
09/03/2020
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