VA Hospital

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

VA HOSPITAL

Practice address

7264 Madison Circle
Union City, GA 30291

Phone

(770) 892-3431

Fax

(770) 964-2677

NPI assigned

Aug 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darrel Alexander Williams

Title

Chaplain Resident

Phone

(404) 321-6111

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780798314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7264 MADISON CIRCLE",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "30291",
            "telephone_number": "770-892-3431",
            "fax_number": "770-964-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7264 MADISON CIRCLE",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "30291",
            "telephone_number": "770-892-3431",
            "fax_number": "770-964-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "CHAPLAIN RESIDENT",
        "authorized_official_telephone_number": "404-321-6111"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vphealthcareservices
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Nursing Facility/Intermediate Care Facility in Union City, GA
• Providers in Union City, GA by specialty
• Nursing Facility/Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.