Organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Active
Parent organization
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Other names
Smith Northview Hospital, A Campus of South Georgia Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY, GEORGIA
Authorized official
MR. JACK RANDALL SAULS (CHIEF EXECUTIVE OFFICER)
(229) 333-1020
Entity
Organization
Contact information
Practice address
4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 433-8000
Mailing address
PO BOX 0070, VALDOSTA, GA 31603-0070
(229) 433-8000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
092-141
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001724G
—
GA
Enumeration date
06/20/2013
Last updated
06/04/2014
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