Provider Demographics
NPI:1518357607
Name:HOSPITAL AUTHORITY OF IRWIN COUNTY
Entity Type:Organization
Organization Name:HOSPITAL AUTHORITY OF IRWIN COUNTY
Other - Org Name:IRWIN MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCIALL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-468-3862
Mailing Address - Street 1:710 N IRWIN AVE
Mailing Address - Street 2:
Mailing Address - City:OCILLA
Mailing Address - State:GA
Mailing Address - Zip Code:31774-5011
Mailing Address - Country:US
Mailing Address - Phone:229-468-3800
Mailing Address - Fax:
Practice Address - Street 1:602 N IRWIN AVE
Practice Address - Street 2:
Practice Address - City:OCILLA
Practice Address - State:GA
Practice Address - Zip Code:31774-5010
Practice Address - Country:US
Practice Address - Phone:229-468-0711
Practice Address - Fax:229-468-0714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-28
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty