Organization
HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE
Active
Other names
Jefferson Hospital Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GUY (ASSISTANT ADMINISTRATOR)
(478) 625-7000
Entity
Organization
Contact information
Practice address
1067 PEACHTREE ST, LOUISVILLE, GA 30434-1558
(478) 625-7000
(478) 625-8907
Mailing address
1067 PEACHTREE ST, LOUISVILLE, GA 30434-1558
(478) 625-7000
(478) 625-8907
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000001031S
—
GA
Enumeration date
11/13/2006
Last updated
09/22/2020
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