Ty Cobb Healthcare System, Inc.
Ty Cobb Healthcare System, Inc. is a health care provider in Lavonia, GA. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 29 Clear Creek Pkwy, Lavonia, GA 30553-4172, US |
|Practice Location Phone||877-485-5718|
|Practice Location Fax||706-356-7403|
|Legal Business Name||TY COBB HEALTHCARE SYSTEM, INC.|
|Other Organization Name||HOME BASE HEALTH SERVICES|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Jul 25, 2006|
|Last Update Date ? ||Aug 14, 2014|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Ty Cobb Healthcare System, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Durable Medical Equipment & Medical Supplies||Suppliers|| |
Legacy Provider IDs of Ty Cobb Healthcare System, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
|52448230||Georgia||Other||BCBS OF GEORGIA|
Authorized Official of Ty Cobb Healthcare System, Inc.
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Ty Cobb Healthcare System, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Matt R Mcree|
|Authorized Official Title/Position||CFO|
|Authorized Official Phone Number||706-356-7456|