| NPI | 1912079039 |
|---|---|
| Doing Business As | NORTHRIDGE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY WISE Director 706-335-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NR1301X General Acute Care Hospital, Rural |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 275N00000X Medicare Defined Swing Bed Unit | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-12 |