Organization
HUTCHESON MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER FORGEY (CEO)
(706) 858-2000
Entity
Organization
Contact information
Practice address
100 GROSS CRESCENT CIRCLE, FORT OGLETHORPE, GA 30742-3643
(706) 858-2000
(706) 858-2732
Mailing address
100 GROSS CRESCENT CIRCLE, FORT OGLETHORPE, GA 30742-3643
(706) 858-2000
(706) 858-2732
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
023522
GA
341600000X
Ambulance
14609
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001075A
—
GA
05
—
000134659A
—
GA
01
—
1000092
BLUE CROSS TENNESSEE
GA
01
—
100042
BLUE CROSS GEORGIA
GA
01
—
5000082
UNITED HEALTHCARE
GA
01
—
58600446402
JOHN DEERE
GA
Enumeration date
03/10/2006
Last updated
08/16/2012
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