Organization
BCH MEDICAL INVESTORS LLC
Active
Other names
Berrien County Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JABALEY (OWNER/MANAGER)
(229) 543-7100
Entity
Organization
Contact information
Practice address
1221 E MCPHERSON AVE, NASHVILLE, GA 31639-2326
(229) 543-7381
(229) 543-1705
Mailing address
1221 E MCPHERSON AVE, NASHVILLE, GA 31639-2326
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHRE007337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1158713
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/10/2009
Last updated
05/08/2009
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