| Dodge County Hospital Authority | |
|
901 Griffin Ave Eastman GA 31023-6720 | |
| (478) 448-4000 | |
| (478) 448-4088 |
| Full Name | Dodge County Hospital Authority |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 901 Griffin Ave, Eastman, Georgia |
| Authorized Official Name and Position | Jan Hamrick (CFO) |
| Authorized Official Contact | 4784484050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dodge County Hospital Authority 901 Griffin Ave Eastman GA 31023-6784 Ph: (478) 448-4000 | Dodge County Hospital Authority 901 Griffin Ave Eastman GA 31023-6720 Ph: (478) 448-4000 |
| NPI Number | 1881010239 |
|---|---|
| Provider Enumeration Date | 03/10/2014 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 1759372733 |
|---|---|
| Medicare Enrollment ID | O20140528001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881010239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Medical Center Dr, Eastman, GA 31023 Phone: 478-374-6835 | |
Community Service Board Of Middle Georgia Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Plaza Ave, Eastman, GA 31023 Phone: 478-448-1040 | |
Community Service Board Of Middle Ga Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 Plaza Ave, Eastman, GA 31023 Phone: 478-448-1040 Fax: 478-374-0124 |