| Organization Name: | BLECKLEY COUNTY HOSPITAL |
| NPI Number: | 1578637526 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE NOBLES PAULK (CEO) |
| Mailing Address: | 145 E Peacock St Cochran |
| State: | GA US |
| Postal Code: | 310147846 |
| Phone Number: | 4789346211 |
| Fax Number: | |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 08/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 012-233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |