Provider Demographics
NPI:1447560925
Name:HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Entity Type:Organization
Organization Name:HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Other - Org Name:HOSPITAL AUTHORITY OF WASHINGTON COUNTY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:BREDTHAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-240-2102
Mailing Address - Street 1:610 SPARTA RD
Mailing Address - Street 2:
Mailing Address - City:SANDERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31082-1860
Mailing Address - Country:US
Mailing Address - Phone:478-552-9000
Mailing Address - Fax:478-240-2057
Practice Address - Street 1:610 FERNCREST DR STE B
Practice Address - Street 2:
Practice Address - City:SANDERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:31082-1863
Practice Address - Country:US
Practice Address - Phone:478-552-9000
Practice Address - Fax:478-240-2057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty