Provider Demographics
NPI:1598031825
Name:HOSPITAL AUTHORITY OF FLOYD COUNTY
Entity Type:Organization
Organization Name:HOSPITAL AUTHORITY OF FLOYD COUNTY
Other - Org Name:POLK MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO AND VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEERIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-509-6079
Mailing Address - Street 1:424 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:CEDARTOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30125-2644
Mailing Address - Country:US
Mailing Address - Phone:770-748-2500
Mailing Address - Fax:
Practice Address - Street 1:424 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDARTOWN
Practice Address - State:GA
Practice Address - Zip Code:30125-2644
Practice Address - Country:US
Practice Address - Phone:770-748-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POLK MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-30
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11Z330Medicare Oscar/Certification