Organization
MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DOW CPA (CHIEF FINANCIAL OFFICER)
(912) 350-8613
Entity
Organization
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-7109
(912) 350-3058
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-3719
(912) 350-3948
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
025-377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00001273A
—
GA
01
—
001217
BLUE CROSS BLUE SHIELD
GA
05
—
091693500
—
FL
01
—
10006521
MEDICAID CMO
GA
05
—
117736
—
SC
05
—
456640
—
SC
01
—
486
MEDICAID CMO
GA
01
—
FACILITY # 1405
NATIONALLY ASSIGNED
—
Enumeration date
09/11/2006
Last updated
05/15/2017
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