Provider Demographics
NPI:1144308891
Name:MERIWETHER COUNTY HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:MERIWETHER COUNTY HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-655-9258
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-0008
Mailing Address - Country:US
Mailing Address - Phone:706-655-9258
Mailing Address - Fax:706-655-9266
Practice Address - Street 1:5995 SPRINGS STREET
Practice Address - Street 2:
Practice Address - City:WARM SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:31830-0008
Practice Address - Country:US
Practice Address - Phone:706-655-9258
Practice Address - Fax:706-655-9266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11Z316275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00001284SMedicaid
GA11Z316Medicare Oscar/Certification