West Georgia Hospice

LBN: Lagrange Troup County Hospital Authority
West Georgia Hospice is an health care organization with primary practice located at 1510 Vernon Rd , Lagrange GA 30240-4131. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Hospice, Inpatient, which is considered as the primary health care specialty. Lagrange Troup County Hospital Authority can be contacted via phone (706) 845-3905, or through Fulks, Gerald N via phone (706) 845-3244.

Contact Information

Primary practice address
1510 Vernon Rd Lagrange GA 30240-4131
Phone: (706) 845-3905
Fax: (706) 845-3902
Website:
Map and Directions
Authorized official contact:
Name: Fulks, Gerald N
Phone: (706) 845-3244

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X

Profile Details

NPI number 1174597298
LBN Legal business name Lagrange Troup County Hospital Authority
DBA Doing business as West Georgia Hospice
Authorized official Fulks, Gerald N
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 31st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174597298 NPPES
Georgia MEDICAID 00371896A

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