Provider Demographics
NPI:1548251366
Name:CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
Entity type:Organization
Organization Name:CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:OPRANDY
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:334-756-1495
Mailing Address - Street 1:PO BOX 348
Mailing Address - Street 2:4800 48TH ST
Mailing Address - City:VALLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36854-3666
Mailing Address - Country:US
Mailing Address - Phone:334-756-1648
Mailing Address - Fax:334-756-5874
Practice Address - Street 1:4800 48TH ST
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:AL
Practice Address - Zip Code:36854-3666
Practice Address - Country:US
Practice Address - Phone:334-756-1648
Practice Address - Fax:334-756-5874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL001809275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALO1U025OtherMEDICARE SW BED PROV NUM
AL010076OtherBCBS HOSP PROV #
ALHOS0025HMedicaid
ALO1U025OtherMEDICARE SW BED PROV NUM
ALHOS0025HMedicaid