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MIDDLE GEORGIA NURSING HOME INC. NPI 1477542884


NPI Information

NPI: 1477542884
Provider Name: MIDDLE GEORGIA NURSING HOME, INC.

Doing Business As: MIDDLE GEORGIA NURSING HOME

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 11D0977707

Address:
556 CHESTER HWY
EASTMAN, GA
ZIP 31023
Phone: (478) 783-4988
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MIDDLE GEORGIA NURSING HOME, INC. is a durable medical equipment medical supplies in Eastman, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MIDDLE GEORGIA NURSING HOME, INC. NPI is 1477542884. The provider is registered as an organization entity type.
The provider Is Doing Business As Middle Georgia Nursing Home.

The provider's business location address is:

556 CHESTER HWY
EASTMAN, GA
ZIP 31023-717
Phone: (478) 783-4988

The provider's authorized official is Deborah Coley .
The authorized official title is Medicare Part B Coordinator and has the following contact phone number (478) 783-4988.

The CLIA number assigned to this NPI record is 11D0977707 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies10451015GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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