Organization
EARLY MEMORIAL HOSPITAL
Active
Organization
EARLY MEMORIAL HOSPITAL
Active
Parent organization
EARLY MEMORIAL HOSPITAL
Other names
Early Memorial Hospital - Swingbed
Organization subpart
Yes
Provider details
NPI number
Legal business name
EARLY MEMORIAL HOSPITAL
Authorized official
MR. CHARLES D. HIGHTOWER JR. (CFO)
(229) 228-2853
Entity
Organization
Contact information
Practice address
11740 COLUMBIA ST, BLAKELY, GA 39823-2574
(229) 723-4241
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
49-45
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000635H
—
GA
01
—
49-45
PERMIT NUMBER
GA
Enumeration date
11/22/2006
Last updated
05/07/2008
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