| Organization Name: | PIONEER HEALTH SERVICES OF EARLY COUNTY, LLC |
| NPI Number: | 1104131267 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH S MCNULTY (CEO) |
| Mailing Address: | 11740 Columbia St Blakely |
| State: | GA US |
| Postal Code: | 398232574 |
| Phone Number: | 2297234241 |
| Fax Number: | 2297232930 |
| NPI Enumeration Date: | 08/13/2010 |
| NPI Last Update Date: | 08/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |