Provider Demographics
NPI:1184765729
Name:SAVANNAH SPEECH AND HEARING CENTER INC
Entity type:Organization
Organization Name:SAVANNAH SPEECH AND HEARING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:LANCASTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-355-4601
Mailing Address - Street 1:1206 E 66TH ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-5704
Mailing Address - Country:US
Mailing Address - Phone:912-355-4601
Mailing Address - Fax:912-355-7935
Practice Address - Street 1:5414 SKIDAWAY RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2248
Practice Address - Country:US
Practice Address - Phone:912-355-4601
Practice Address - Fax:912-355-7935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA340991OtherWELLCARE ID NUMBER
GA100052108OtherAMERIGROUP ID NUMBER
SCGPA809Medicaid
GA300018620AMedicaid