Organization
REDMOND PARK HOSPITAL, LLC
Active
Other names
ADVENTHEALTH REDMOND, REDMOND REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY PRUSIA (CFO)
(706) 802-3035
Entity
Organization
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
(706) 291-0971
Mailing address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
(706) 291-0971
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001581A
—
GA
05
—
0110168
—
TN
01
—
100069
BLUE CROSS
GA
01
—
156120400
DEPT OF LABOR
—
05
—
200044050A
—
OK
01
—
7153
BLUECARE
TN
05
—
902540500
—
FL
05
—
HOS0168P
—
AL
Enumeration date
05/22/2006
Last updated
03/27/2024
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