EFFINGHAM HOSPITAL INC. NPI 1164651022

NPI Information

NPI: 1164651022
Provider Name: EFFINGHAM HOSPITAL, INC.

Doing Business As: EFFINGHAM FAMILY MEDICINE AT GUYTON

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
3 HIDDEN CREEK DR
GUYTON, GA
ZIP 31312
Phone: (912) 772-8670
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EFFINGHAM HOSPITAL, INC. is a rural health clinic center in Guyton, GA. EFFINGHAM HOSPITAL, INC. NPI is 1164651022. The provider is registered as an organization entity type.
The provider Is Doing Business As Effingham Family Medicine At Guyton.

The provider's business location address is:

3 HIDDEN CREEK DR
GUYTON, GA
ZIP 31312-590
Phone: (912) 772-8670
Fax: (912) 754-1037

The provider's authorized official is Francine Baker-witt .
The authorized official title is Interim Ceo and has the following contact phone number (912) 754-0142.

The CLIA number assigned to this NPI record is 11D0987544 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2009 and was last updated on 11/29/2016.

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	261Q00000X	Clinic/Center			GEORGIA	No
2	261QR1300X	Clinic/Center	Rural Health			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	11-8541	MEDICARE PIN	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

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