Organization Name: | PHOEBE WORTH MEDICAL CENTER, INC |
NPI Number: | 1639157431 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACEY L FLYNT (BUSINESS OFFICE MANAGER) |
Mailing Address: | 807 S Isabella St Sylvester |
State: | GA US |
Postal Code: | 317917554 |
Phone Number: | 2297774514 |
Fax Number: | 2297767062 |
NPI Enumeration Date: | 01/03/2006 |
NPI Last Update Date: | 07/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |