JOHN D. ARCHBOLD MEMORIAL HOSPITAL INC. NPI 1184673030

NPI Information

NPI: 1184673030
Provider Name: JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.

Former Legal Business Name: ARCHBOLD HEALTH SERVICES, INC.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2705 E. PINETREE BLVD
THOMASVILLE, GA
ZIP 31792
Phone: (229) 551-2365
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JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. is a durable medical equipment medical supplies in Thomasville, GA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. NPI is 1184673030. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Archbold Health Services, Inc..

The provider's business location address is:

2705 E. PINETREE BLVD
THOMASVILLE, GA
ZIP 31792-875
Phone: (229) 551-2365
Fax: (229) 225-9382

The provider's authorized official is Tara King .
The authorized official title is Avp and has the following contact phone number (229) 228-2229.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 1/9/2023.

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	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	No
2	335E00000X	Prosthetic/Orthotic Supplier		No
3	332B00000X	Durable Medical Equipment & Medical Supplies		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
1	00376879A	MEDICAID	GEORGIA
2	00185061A	MEDICAID	GEORGIA
3	00382599A	MEDICAID	GEORGIA
4	00377495A	MEDICAID	GEORGIA
5	00647358A	MEDICAID	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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