| Organization Name: | ST. MARY'S SACRED HEART HOSPITAL, INC. |
| NPI Number: | 1518354778 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTIN HUTSON (CFO) |
| Mailing Address: | 367 Clear Creek Pkwy Lavonia |
| State: | GA US |
| Postal Code: | 305534173 |
| Phone Number: | 7063567800 |
| Fax Number: | 7063567828 |
| NPI Enumeration Date: | 04/24/2015 |
| NPI Last Update Date: | 07/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |