| Organization Name: | ST MARY'S HEALTH CARE SYSTEM INC |
| NPI Number: | 1447242623 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTIN HUTSON (VICE PRESIDENT & CFO) |
| Mailing Address: | 1021 Jamestown Blvd Ste 215 Watkinsville |
| State: | GA US |
| Postal Code: | 306774139 |
| Phone Number: | 7063892273 |
| Fax Number: | 7062088883 |
| NPI Enumeration Date: | 08/16/2005 |
| NPI Last Update Date: | 08/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 029035H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |