NPIMap

Hospital Authority of the City of Bainbridge and Decatur County Georgi

Organization Active NPI Multi-Specialty Clinic/Center · Bainbridge, GA

NPI 1003334236 · NPPES record last updated Sep 8, 2017

Key facts

NPI
1003334236
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI
Practice address
603 Wheat Ave Ste 650
Bainbridge, GA 39819-4380
Phone
(229) 243-6900
Fax
(229) 243-6919
NPI assigned
Sep 8, 2017
Organization subpart
No

Authorized official

Name
Karen Faircloth
Title
Cfo
Phone
(229) 246-8211

Corporate family (same tax ID) 6

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Hospital Authority of the City of Bainbridge and Decatur County Georgi (7 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

603 Wheat Ave Ste 650
Bainbridge, GA 39819-4380

Mailing address

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 243-1700

Other names

  • Bainbridge Ophthalmology Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 8, 2017.

{
    "created_epoch": "1504828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504828800000",
    "number": "1003334236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194256",
            "telephone_number": "229-243-1700",
            "fax_number": "229-246-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WHEAT AVE STE 650",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194380",
            "telephone_number": "229-243-6900",
            "fax_number": "229-243-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A",
        "authorized_official_last_name": "FAIRCLOTH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-246-8211"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bainbridge Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bainbridge, GA

All providers in Bainbridge, GA · Multi-Specialty Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.