Provider Demographics
NPI:1801066881
Name:HOSPITAL AUTHORITY OF COLUMBUS
Entity type:Organization
Organization Name:HOSPITAL AUTHORITY OF COLUMBUS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HECHT
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:706-256-2510
Mailing Address - Street 1:7200 MANOR RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-3146
Mailing Address - Country:US
Mailing Address - Phone:706-561-4217
Mailing Address - Fax:706-561-6543
Practice Address - Street 1:7200 MANOR RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-3146
Practice Address - Country:US
Practice Address - Phone:706-561-4217
Practice Address - Fax:706-561-6543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA106-R-0025251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care