Organization Name: | LOWER OCONEE COMMUNITY HOSPITAL, INC |
NPI Number: | 1043335193 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNAN FOWLER (BUSINESS OFFICE) |
Mailing Address: | 322 East Second Avenue Glenwood |
State: | GA US |
Postal Code: | 304280866 |
Phone Number: | 9125232601 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 12/31/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 208152021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |