| Hospital Authority Of Jefferson County And The City Of Louisville | |
|
1067 Peachtree St Louisville GA 30434-1558 | |
| (478) 625-7000 | |
| Not Available |
| Full Name | Hospital Authority Of Jefferson County And The City Of Louisville |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1067 Peachtree St, Louisville, Georgia |
| Authorized Official Name and Position | Jessica Guy (ASSISTANT ADMINISTRATOR) |
| Authorized Official Contact | 4786257000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospital Authority Of Jefferson County And The City Of Louisville 1067 Peachtree St Louisville GA 30434-1558 Ph: (478) 625-7000 | Hospital Authority Of Jefferson County And The City Of Louisville 1067 Peachtree St Louisville GA 30434-1558 Ph: (478) 625-7000 |
| NPI Number | 1417554437 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/06/2020 |
| Certification Date | 10/06/2020 |
| Medicare PECOS PAC ID | 7214823046 |
|---|---|
| Medicare Enrollment ID | O20201030000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417554437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 282N00000X | General Acute Care Hospital | (* (Not Available)) | Secondary |
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