Provider Demographics
NPI:1285803700
Name:MURRAY MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:MURRAY MEDICAL CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-695-4564
Mailing Address - Street 1:707 OLD DALTON ELLIJAY RD
Mailing Address - Street 2:P.O. BOX 1406
Mailing Address - City:CHATSWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30705-2029
Mailing Address - Country:US
Mailing Address - Phone:706-695-4564
Mailing Address - Fax:706-517-2077
Practice Address - Street 1:104 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:GA
Practice Address - Zip Code:30705-2058
Practice Address - Country:US
Practice Address - Phone:706-695-4564
Practice Address - Fax:706-517-3718
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MURRAY MEDICAL CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-28
Last Update Date:2010-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA01051253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000001383BMedicaid