Provider Demographics
NPI:1912564618
Name:MERIWETHER HEALTHCARE, L.L.C.
Entity Type:Organization
Organization Name:MERIWETHER HEALTHCARE, L.L.C.
Other - Org Name:WARM SPRINGS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-655-3331
Mailing Address - Street 1:5995 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:WARM SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:31830-2149
Mailing Address - Country:US
Mailing Address - Phone:706-655-3331
Mailing Address - Fax:
Practice Address - Street 1:64A JONES MILL RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:GA
Practice Address - Zip Code:30293-2678
Practice Address - Country:US
Practice Address - Phone:706-553-5367
Practice Address - Fax:706-553-5370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health