Organization
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Active
Parent organization
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Other names
Miller Home Infusion Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Authorized official
ROBIN A RAU (CEO)
(229) 758-3885
Entity
Organization
Contact information
Practice address
213 DELORES ST STE A, COLQUITT, GA 39837-3528
(229) 758-2029
(229) 758-2092
Mailing address
209 N CUTHBERT STREET, P.O. BOX 7, COLQUITT, GA 39837-3518
(229) 758-4212
(229) 758-2668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003242112A
—
GA
01
—
PHHH000074
LICENSE
GA
Enumeration date
07/23/2020
Last updated
04/26/2022
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