Organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Active
Parent organization
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY
Authorized official
STEPHEN TYLER WILLIAMS (CEO)
(706) 754-3113
Entity
Organization
Contact information
Practice address
541 441 HISTORIC HWY N, DEMOREST, GA 30535-4528
(706) 754-2161
(706) 754-7300
Mailing address
PO BOX 1629, DEMOREST, GA 30535-1629
(706) 754-2161
(706) 754-7300
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
4705360
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000877A
—
GA
01
—
000185
BLUE CROSS BLUE SHIELD
GA
05
—
0929352-00
—
FL
05
—
10185B
—
SC
05
—
1100041
—
NC
01
—
4705360
LICENSE #
GA
Enumeration date
12/14/2006
Last updated
01/21/2021
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