Lanier Health Services, Inc.

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Lakeland, GA

NPI 1023060084 · NPPES record last updated Mar 28, 2013

Key facts

NPI
1023060084
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
086-102 (GA)
Legal business name
LANIER HEALTH SERVICES, INC.
Practice address
116 W Thigpen Ave
Lakeland, GA 31635-1006
Phone
(229) 482-8401
Fax
(229) 482-8539
NPI assigned
May 17, 2006
Organization subpart
No

Authorized official

Name
Mr. Jack Randall Sauls
Title
Chief Executive Officer
Phone
(229) 333-1020

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 086-102 GA Yes

Addresses

Primary practice location

116 W Thigpen Ave
Lakeland, GA 31635-1006

Mailing address

PO Box 5888
Attn: PFS Dept.
Valdosta, GA 31603-5888
Phone (229) 482-8401

Other identifiers

IdentifierTypeStateIssuer
00001163HMedicaidGA
HOSP110OtherGACAHABA

Other names

  • Louis Smith Memorial Hospital Doing business as

Other providers in Lakeland, GA

All providers in Lakeland, GA · Medicare Defined Swing Bed Hospital Unit in Georgia

Sources for this page

Verify at the official NPI Registry.