EARLY MEMORIAL HOSPITAL NPI 1548214018

NPI Information

NPI: 1548214018
Provider Name: EARLY MEMORIAL HOSPITAL
Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 11D2193447

Address:
11740 COLUMBIA ST
BLAKELY, GA
ZIP 39823
Phone: (229) 723-4241
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EARLY MEMORIAL HOSPITAL is a critical access general acute care hospital in Blakely, GA. EARLY MEMORIAL HOSPITAL NPI is 1548214018. The provider is registered as an organization entity type.

The provider's business location address is:

11740 COLUMBIA ST
BLAKELY, GA
ZIP 39823-574
Phone: (229) 723-4241
Fax: (229) 723-2930

The provider's authorized official is Charles D. Hightower .
The authorized official title is Cfo and has the following contact phone number (229) 228-2853.

The CLIA number assigned to this NPI record is 11D2193447 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 5/25/2008.

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	282NC0060X	General Acute Care Hospital	Critical Access	49-45	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	CG6716	MEDICARE PIN	GEORGIA
2	HOSP143	MEDICARE PIN	GEORGIA
3	111314	MEDICARE OSCAR/CERTIFICATION	GEORGIA
4	111314A000000	OTHER	GEORGIA	TRAILBLAZER
5	CC2394	MEDICARE PIN	GEORGIA
6	000020	OTHER	GEORGIA	BC/BS GA
7	000000635A	MEDICAID	GEORGIA
8	DC4957	MEDICARE UPIN	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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