Organization
HOSPITAL AUTHORITY OF RANDOLPH COUNTY
Active
Parent organization
HOSPITAL AUTHORITY OF RANDOLPH COUNTY
Other names
Southwest Georgia Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF RANDOLPH COUNTY
Authorized official
STEVEN WHATLEY (HARC BOARD CHAIRMAN)
(229) 209-1242
Entity
Organization
Contact information
Practice address
361 RANDOLPH ST, CUTHBERT, GA 39840-6127
(229) 312-6711
(229) 732-6759
Mailing address
361 RANDOLPH ST, CUTHBERT, GA 39840-6127
(229) 312-6711
(229) 732-6759
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
048502
GA
208D00000X
General Practice Physician
040908
GA
208D00000X
General Practice Physician
042910
GA
208D00000X
General Practice Physician
048852
GA
208D00000X
General Practice Physician
053465
GA
282N00000X
General Acute Care Hospital
PHH003499
GA
282NC0060X
Critical Access Hospital
Primary
—
—
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001427A
—
GA
Enumeration date
09/09/2005
Last updated
08/23/2019
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