Evans Memorial
Organization Active NPI Parenteral & Enteral Nutrition Supplies (DME) · Hawkinsville, GA
NPI 1972709772 · NPPES record last updated Jan 16, 2008
Key facts
- NPI
- 1972709772
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
- Legal business name
- EVANS MEMORIAL
- Practice address
- 440 Industrial Blvd
Hawkinsville, GA 31036 - Phone
- (478) 783-4988
- NPI assigned
- Jun 27, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- EVANS MEMORIAL HOSPITAL
Authorized official
- Name
- Danny S Lynn
- Title
- Administrator
- Phone
- (912) 654-2138
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Evans Memorial
- Part of
- Evans Memorial
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Yes |
Addresses
Primary practice location
440 Industrial Blvd
Hawkinsville, GA 31036
Mailing address
PO Box 1033
Hawkinsville, GA 31036-7033
Phone (478) 783-4988
Other names
- Glenvue Nursing Home
Other providers in Hawkinsville, GA
- Alton Delana Dykes V
- Guy T Easterling
- Eatonton Health & Rehabilitation
- Elite Sport & Spine Physical Therapy, Inc.
- James Eustis
- Anna Lee Faulk
- Natalie Floyd
- Katrina Hilliard Franklin
- Andria Galloway
- Gary M Williams M.D., P.C.
All providers in Hawkinsville, GA · Parenteral & Enteral Nutrition Supplies (DME) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2008. 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.