Organization
RESTORATION HEALTHCARE OF COMMERCE, LLC
Active
Other names
BJC Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN N CLAPP (PRESIDENT)
(865) 607-9923
Entity
Organization
Contact information
Practice address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1000
(706) 335-7701
Mailing address
70 MEDICAL CENTER DR, COMMERCE, GA 30529-1078
(706) 335-1000
(706) 335-7701
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
78-12
GA
282N00000X
General Acute Care Hospital
Primary
78-12
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000151A
—
GA
01
—
11U040
SWING BED PROVIDER NUMBER
GA
Enumeration date
05/06/2010
Last updated
05/06/2010
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