| Organization Name: | HOSPITAL AUTHORITY OF RANDOLPH COUNTY |
| NPI Number: | 1285624452 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACEY L FLYNT (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 125 Mcdonald Ave Cuthbert |
| State: | GA US |
| Postal Code: | 398405829 |
| Phone Number: | 2292091322 |
| Fax Number: | 2292091324 |
| NPI Enumeration Date: | 10/27/2005 |
| NPI Last Update Date: | 11/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 048502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |