Provider Demographics
NPI:1528056066
Name:HAMILTON MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:HAMILTON MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARBUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-272-6000
Mailing Address - Street 1:PO BOX 1168
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30722-1168
Mailing Address - Country:US
Mailing Address - Phone:706-272-6000
Mailing Address - Fax:706-272-6117
Practice Address - Street 1:1200 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30720-2529
Practice Address - Country:US
Practice Address - Phone:706-272-6000
Practice Address - Fax:706-272-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336L0003X, 261QA0600X, 261QH0700X
GA155-527282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA100013OtherBCBS OF GEORGIA
GA00000899AMedicaid
TN0110001Medicaid
GA00000899AMedicaid