Lower Oconee Community Hospital, Inc

Organization Active NPI Rural Health Clinic/Center · Ailey, GA

NPI 1891810909 · NPPES record last updated Jul 11, 2013

Key facts

NPI
1891810909
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
3101 US Highway 280
Ailey, GA 30410-3659
Phone
(912) 538-7500
NPI assigned
Mar 20, 2007
Organization subpart
No

Authorized official

Name
Lynan Fowler
Title
Business Office
Phone
(912) 523-5113

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 208152021 GA Yes

Addresses

Primary practice location

3101 US Highway 280
Ailey, GA 30410-3659

Mailing address

3101 US Highway 280
Ailey, GA 30410-3659
Phone (912) 538-7500

Other identifiers

IdentifierTypeStateIssuer
324829478DMedicaidGA

Other names

  • HIGGSTON FAMILY CLINIC Doing business as

Other providers in Ailey, GA

All providers in Ailey, GA · Rural Health Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.