Provider Demographics
NPI:1275552226
Name:MACON COUNTY GENERAL HOSPITAL INC.
Entity type:Organization
Organization Name:MACON COUNTY GENERAL HOSPITAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PFS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:HALEY
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-666-2147
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-0378
Mailing Address - Country:US
Mailing Address - Phone:615-666-2147
Mailing Address - Fax:615-666-7052
Practice Address - Street 1:204 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-1719
Practice Address - Country:US
Practice Address - Phone:615-666-2147
Practice Address - Fax:615-666-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty