Lower Oconee Community Hospital, Inc
Organization Active NPI Rural Health Clinic/Center · Glenwood, GA
NPI 1043335193 · NPPES record last updated Dec 31, 2013
Key facts
- NPI
- 1043335193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 208152021 (GA)
- Legal business name
- LOWER OCONEE COMMUNITY HOSPITAL, INC
- Practice address
- 322 East Second Avenue
Glenwood, GA 30428-0866 - Phone
- (912) 523-2601
- NPI assigned
- Mar 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Lynan Fowler
- Title
- Business Office
- Phone
- (912) 523-5113
Practitioners 1
-
Spencer M. Paterson, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 208152021 | GA | Yes |
Addresses
Primary practice location
322 East Second Avenue
Glenwood, GA 30428-0866
Mailing address
322 East Second Avenue
Glenwood, GA 30428-0866
Phone (912) 523-2602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 324829478C | Medicaid | GA |
Other names
- GLENWOOD FAMILY CLINIC
Other providers in Glenwood, GA
- GW SNF LLC
- Anthony Junco Jr.
- Lower Oconee Community Hospital Inc
- Lower Oconee Community Hospital Inc
- Lower Oconee Community Hospital Pharmacy
- Lower Oconee Community Hospital, Inc.
- McIntyrepharmacy LLC Dba Glenwood Pharmacy
- Orthopedic Center PC
- Robert J. Dayer, M.D., PC
- Jared Matthew Aaron Taylor
All providers in Glenwood, GA · Rural Health Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.