Organization Name: | BLUE RIDGE GEORGIA HOSPITAL COMPANY LLC |
NPI Number: | 1386616555 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA P RICHARDSON (AUTHORIZED OFFICIAL) |
Mailing Address: | 2855 Old Highway 5 Blue Ridge |
State: | GA US |
Postal Code: | 305136248 |
Phone Number: | 7066323711 |
Fax Number: | 7606327216 |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 04/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 055-452 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |