Organization Active NPI

Murray County Memorial Hospital Authority

  • Land Ambulance
  • Chatsworth, GA
National Provider Identifier
1902177991
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
105-01 Issued in GA
Legal business name
MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY
Practice address
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone
(706) 695-4564
Fax
(706) 517-2076
NPI assigned
Jan 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Mr. Stephen R Richards
Title
Board Chairman
Phone
(706) 695-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 105-01 GA Primary

Addresses

Primary practice location

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029

Mailing address

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone (706) 695-4564

Other names 1

  • Murray County Emergency Medical Services Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1902177991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 OLD DALTON ELLIJAY RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052029",
            "telephone_number": "706-695-4564",
            "fax_number": "706-517-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 OLD DALTON ELLIJAY RD",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052029",
            "telephone_number": "706-695-4564",
            "fax_number": "706-517-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "706-695-5366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "105-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murray County Emergency Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.