Organization Name: | BLECKLEY COUNTY HOSPITAL |
NPI Number: | 1053461376 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN HAMRICK (CEO) |
Mailing Address: | 145 E Peacock St Cochran |
State: | GA US |
Postal Code: | 310147846 |
Phone Number: | 4789346211 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 11/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 012-233 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |