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Organization

THE COBB FOUNDATION, INC.

Active
Other names
Hart County Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY R WISE (CEO/ADMINISTRATOR)
(706) 856-6113
Entity
Organization

Contact information

Practice address
138 W GIBSON ST, HARTWELL, GA 30643-1847
(706) 856-6100
(706) 856-6294
Mailing address
PO BOX 280, HARTWELL, GA 30643-0280
(706) 856-6100
(706) 856-6117

Taxonomy

Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
073-494
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000921A
GA
05
01000035
GA
01
0606901
AETNA
05
10455B
SC
01
110059B
TRAIL BLAZER
GA
01
207
BLUE CROSS BLUE SHIELD
GA
05
273123
GA
05
73076A
SC
Enumeration date
09/07/2006
Last updated
08/04/2008
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