Organization
BACON COUNTY HEALTH SERVICES, INC
Active
Other names
Bacon County Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA FIVEASH (OFFICE MANAGER/DIRECTOR)
(912) 632-2952
Entity
Organization
Contact information
Practice address
204 E 15TH ST, ALMA, GA 31510-2908
(912) 632-2952
(912) 632-8682
Mailing address
204 E 15TH ST, ALMA, GA 31510-2908
(912) 632-2952
(912) 632-8682
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000118C
—
GA
01
—
113408
OSCAR NUMBER
GA
Enumeration date
07/19/2006
Last updated
10/10/2012
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