| Organization Name: | HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE |
| NPI Number: | 1801801543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEYWARD WELLS (CEO) |
| Mailing Address: | 400 Canterbury Dr Wrens |
| State: | GA US |
| Postal Code: | 308334072 |
| Phone Number: | 4786257000 |
| Fax Number: | 4786258907 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 12/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |