Mayo Clinic Health System Physicians In Waycross, Inc.

LBN: Mayo Clinic Health System In Waycross, Inc.
Mayo Clinic Health System Physicians In Waycross, Inc. is an health care organization with primary practice located at 1900 Tebeau St , Waycross GA 31501-6357. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Mayo Clinic Health System In Waycross, Inc. can be contacted via phone (912) 283-3030, or through Hoffman, George via phone (912) 287-4213.

Contact Information

Primary practice address
1900 Tebeau St Waycross GA 31501-6357
Phone: (912) 283-3030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hoffman, George
Phone: (912) 287-4213

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1154745982
LBN Legal business name Mayo Clinic Health System In Waycross, Inc.
DBA Doing business as Mayo Clinic Health System Physicians In Waycross, Inc.
Authorized official Hoffman, George
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2014
Last updated Aug 15th, 2016 - about 10 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 1154745982 NPPES
Other CJ0931 RAILROAD PTAN

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