Provider Demographics
NPI:1679543672
Name:UHS OF SAVANNAH LLC
Entity Type:Organization
Organization Name:UHS OF SAVANNAH LLC
Other - Org Name:COASTAL HARBOR HEALTH SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/ SR VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:1150 CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-2702
Mailing Address - Country:US
Mailing Address - Phone:912-354-3911
Mailing Address - Fax:
Practice Address - Street 1:1150 CORNELL AVE
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2702
Practice Address - Country:US
Practice Address - Phone:912-354-3911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-24
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA25617283Q00000X
323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========Medicaid
GA114008Medicare Oscar/Certification