Provider Demographics
NPI:1679844609
Name:MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY
Entity Type:Organization
Organization Name:MURRAY COUNTY MEMORIAL HOSPITAL AUTHORITY
Other - Org Name:MURRAY MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-270-1979
Mailing Address - Street 1:707 OLD DALTON ELLIJAY RD
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30705-2029
Mailing Address - Country:US
Mailing Address - Phone:706-695-4564
Mailing Address - Fax:706-517-2076
Practice Address - Street 1:707 OLD DALTON ELLIJAY RD
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-2029
Practice Address - Country:US
Practice Address - Phone:706-695-4564
Practice Address - Fax:706-517-2076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA105-575282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital