Organization
WHEELER COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNAN P FOWLER (PT ACCOUNT MANAGER)
(912) 523-5113
Entity
Organization
Contact information
Practice address
111 N THIRD ST, GLENWOOD, GA 30428-2301
(912) 523-5113
(912) 523-5910
Mailing address
111 N THIRD ST, GLENWOOD, GA 30428-2301
(912) 523-5113
(912) 523-5910
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
282NR1301X
Rural Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00002076A
—
GA
Enumeration date
11/17/2005
Last updated
09/11/2025
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