Organization
AU MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA KEEFER (CEO)
(706) 721-6569
Entity
Organization
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-0211
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
011-104
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000723A
—
GA
01
—
000418
BLUE CROSS
GA
05
—
315846
—
SC
05
—
358127
—
SC
Enumeration date
12/16/2005
Last updated
10/31/2024
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