Provider Demographics
NPI:1588661672
Name:AMERICUS & SUMTER COUNTY HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:AMERICUS & SUMTER COUNTY HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-924-6011
Mailing Address - Street 1:100 WHEATLEY DR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-3788
Mailing Address - Country:US
Mailing Address - Phone:229-924-6011
Mailing Address - Fax:229-931-1164
Practice Address - Street 1:100 WHEATLEY DR
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3788
Practice Address - Country:US
Practice Address - Phone:229-924-6011
Practice Address - Fax:229-931-1164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0129004282NR1301X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered282NR1301XHospitalsGeneral Acute Care HospitalRural
Not Answered341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00000019AMedicaid
GA00000019BMedicaid
GA000010OtherBCBS OF GEORGIA
GA=========OtherBCBS OF SC/TRICARE
GA000010OtherBCBS OF GEORGIA