SCREVEN COUNTY HOSPITAL LLC NPI 1083915524

NPI Information

NPI: 1083915524
Provider Name: SCREVEN COUNTY HOSPITAL LLC

Doing Business As: OPTIM MEDICAL CENTER - SCREVEN

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
215 MIMS RD
SYLVANIA, GA
ZIP 30467
Phone: (912) 564-7426
Get Directions

SCREVEN COUNTY HOSPITAL LLC is a medicare defined swing bed unit in Sylvania, GA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. SCREVEN COUNTY HOSPITAL LLC NPI is 1083915524. The provider is registered as an organization entity type.
The provider Is Doing Business As Optim Medical Center - Screven.

The provider's business location address is:

215 MIMS RD
SYLVANIA, GA
ZIP 30467-994
Phone: (912) 564-7426
Fax: (912) 564-0010

The provider's authorized official is Michael W Kleinpeter .
The authorized official title is Ceo and has the following contact phone number (912) 644-5300.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 2/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	275N00000X	Medicare Defined Swing Bed Unit		124-164	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000001647S	MEDICAID	GEORGIA
2	11Z312	MEDICARE OSCAR/CERTIFICATION	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »