Provider Demographics
NPI:1851503668
Name:CALHOUN MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:CALHOUN MEMORIAL HOSPITAL
Other - Org Name:CALHOUN OCCUPATIONAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOM
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-725-4272
Mailing Address - Street 1:103 R E JENNINGS AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:39813
Mailing Address - Country:US
Mailing Address - Phone:229-725-4272
Mailing Address - Fax:229-725-4136
Practice Address - Street 1:103 R E JENNINGS AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:GA
Practice Address - Zip Code:39813
Practice Address - Country:US
Practice Address - Phone:229-725-4272
Practice Address - Fax:229-725-4136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit