Organization Name: | THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY |
NPI Number: | 1255570321 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DALE SPELL (CEO) |
Mailing Address: | 105 E Tollison St Baxley |
State: | GA US |
Postal Code: | 315130149 |
Phone Number: | 9123674122 |
Fax Number: | 9123674136 |
NPI Enumeration Date: | 02/13/2009 |
NPI Last Update Date: | 06/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 001-502 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |