Provider Demographics
NPI:1730337460
Name:AIKEN REGIONAL MEDICAL CENTERS
Entity type:Organization
Organization Name:AIKEN REGIONAL MEDICAL CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE- NURSE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-641-5000
Mailing Address - Street 1:213 SARAH CREEK CT
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-1223
Mailing Address - Country:US
Mailing Address - Phone:706-855-0272
Mailing Address - Fax:
Practice Address - Street 1:213 SARAH CREEK CT
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-1223
Practice Address - Country:US
Practice Address - Phone:706-855-0272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN153009314000000X
SCR 87446282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility