Organization
HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA K. VICKERS RN (ADMINISTRATOR)
(229) 243-6111
Entity
Organization
Contact information
Practice address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 243-6100
(229) 243-3323
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 243-6100
(229) 243-3323
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000141919A
—
GA
Enumeration date
10/18/2005
Last updated
07/21/2022
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