Provider Demographics
NPI:1558811943
Name:CHATUGE REGIONAL HOSPITAL INC
Entity Type:Organization
Organization Name:CHATUGE REGIONAL HOSPITAL INC
Other - Org Name:UNION GENERAL HOSPITAL SUCHES CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-439-6469
Mailing Address - Street 1:35 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30512-3139
Mailing Address - Country:US
Mailing Address - Phone:706-747-1036
Mailing Address - Fax:706-747-1046
Practice Address - Street 1:56 FIREWATER LN
Practice Address - Street 2:
Practice Address - City:SUCHES
Practice Address - State:GA
Practice Address - Zip Code:30572-2941
Practice Address - Country:US
Practice Address - Phone:706-747-1036
Practice Address - Fax:706-747-1046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty