Pruitthealth - Macon

LBN: Pruitthealth - Macon, Llc
Pruitthealth - Macon is an health care organization with primary practice located at 2255 Anthony Rd , Macon GA 31204-5823. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pruitthealth - Macon, Llc can be contacted via phone (478) 784-7900, or through Pruitt, Neil L via phone (770) 279-6200.

Contact Information

Primary practice address
2255 Anthony Rd Macon GA 31204-5823
Phone: (478) 784-7900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pruitt, Neil L
Phone: (770) 279-6200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1-011-218 Georgia

Profile Details

NPI number 1710934237
LBN Legal business name Pruitthealth - Macon, Llc
DBA Doing business as Pruitthealth - Macon
Authorized official Pruitt, Neil L
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2006
Last updated Jul 2nd, 2014 - about 12 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 1710934237 NPPES
Georgia MEDICAID 00141908A

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