LIBERTY REGIONAL MEDICAL CENTER-WALK-IN CLINIC
NPI 1063903011
Clinic/Center in Hinesville, GA

Q: What is Hospital Authority Of Liberty County's NPI number?

The NPI number for Hospital Authority Of Liberty County is 1063903011. It was assigned to this organization in the NPPES registry on May 25, 2018. The provider is doing business as Liberty Regional Medical Center-Walk-In Clinic.

Q: What is Hospital Authority Of Liberty County's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 25, 2018CLIA 11D0860841 · Waiver

462 ELMA G MILES PKWY, HINESVILLE, GA 31313(912) 369-9310(912) 877-3102 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Liberty Regional Medical Center-walk-in Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIBERTY REGIONAL MEDICAL CENTER-WALK-IN CLINIC (NPI 1063903011) is a healthcare organization registered as a clinic/center in Hinesville, Georgia and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael S Hester, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063903011

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameHOSPITAL AUTHORITY OF LIBERTY COUNTY

Location Address462 ELMA G MILES PKWYHinesville, GA 31313-4000

Mailing Address462 Elma G Miles PkwyHinesville, GA 31313-4000 · (912) 369-9310 · Fax (912) 877-3102

Phone(912) 369-9310

Fax(912) 877-3102

Organization SubpartNo

Authorized OfficialMichael S HesterCeo · (912) 369-9400

Enumeration DateMay 25, 2018

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1063903011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

462 ELMA G MILES PKWY, Hinesville, GA 31313

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Other Names 1

Doing Business AsLiberty Regional Medical Center-walk-in Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0860841

Liberty Regional Medical Center · Hinesville, GA

Active · expires Aug 31, 2026

CLIA Number11D0860841

Laboratory TypeHospital

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorDonna F. Cochrane

Laboratory Phone(912) 369-9400

Laboratory LocationLiberty Regional Medical Center462 E G Miles Pkwy, Lewis Ashmore Med Park, Hinesville, GA 31313

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICOLE STACK BROERMAN MD

Pediatrics