TATTNALL HOSPITAL COMPANY LLC NPI 1790942381

NPI Information

NPI: 1790942381
Provider Name: TATTNALL HOSPITAL COMPANY, LLC

Doing Business As: OPTIM MEDICAL CENTER - TATTNALL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
247 S MAIN ST
REIDSVILLE, GA
ZIP 30453
Phone: (912) 557-1000
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TATTNALL HOSPITAL COMPANY, LLC is a critical access general acute care hospital in Reidsville, GA. TATTNALL HOSPITAL COMPANY, LLC NPI is 1790942381. The provider is registered as an organization entity type.
The provider Is Doing Business As Optim Medical Center - Tattnall.

The provider's business location address is:

247 S MAIN ST
REIDSVILLE, GA
ZIP 30453-605
Phone: (912) 557-1000
Fax: (912) 557-1009

The provider's authorized official is Robert Guenthner .
The authorized official title is Secretary Of Comm. Hosp. Hold. Co. and has the following contact phone number (312) 627-8427.

The CLIA number assigned to this NPI record is 11D0978582 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 7/24/2015.

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
1	282NC0060X	General Acute Care Hospital	Critical Access	132601	GEORGIA	No
2	282NC0060X	General Acute Care Hospital	Critical Access			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	111323	MEDICARE UPIN	GEORGIA
2	000001878A	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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