Organization
DODGE COUNTY HOSPITAL AUTHORITY
Active
Other names
Dodge County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JAN HAMRICK (CFO)
(478) 448-4050
Entity
Organization
Contact information
Practice address
901 GRIFFIN AVE, EASTMAN, GA 31023-6720
(478) 448-4091
(478) 448-4088
Mailing address
901 GRIFFIN AVE, EASTMAN, GA 31023-6784
(478) 448-4435
(478) 374-0337
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000591A
—
GA
05
—
000000591B
—
GA
01
—
000875
BC
—
01
—
00139
BC
—
Enumeration date
08/22/2005
Last updated
06/13/2023
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