NPIMap

Organization Active NPI

Stephens County Hospital Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Toccoa, GA
National Provider Identifier
1023655321
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
STEPHENS COUNTY HOSPITAL AUTHORITY
Practice address
163 Hospital Dr
Toccoa, GA 30577-6820
Phone
(706) 282-4281
Fax
(706) 282-4328
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael Hester
Title
Ceo
Phone
(706) 282-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

163 Hospital Dr
Toccoa, GA 30577-6820

Mailing address

163 Hospital Dr
Toccoa, GA 30577-6820
Phone (706) 282-4281

Other names 1

  • Stephens County Hospital Swing Bed Unit Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@stephenscountyhospital.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191007002873 GA Part A Provider - Hospital 8426956608 1 other NPI on this enrollment
Practice locations: Toccoa, GA

Hospital certification: CCN 11U032

Legal name
STEPHENS COUNTY HOSPITAL AUTHORITY
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 1945 in GA
Enrollment address
163 Hospital Drive
Toccoa, GA 30577-6820
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Wilkinson Personal Care Home6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Thomas Vandiver Loskoski Individual Contracted Managing Employee Oct 7, 2021 100%
Corporate OfficerCeo Oct 7, 2021
W-2 Managing Employee Oct 7, 2021 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1023655321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4281",
            "fax_number": "706-282-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4281",
            "fax_number": "706-282-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHENS COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-282-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@stephenscountyhospital.hin.us",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "163 Hospital Dr",
            "city": "Toccoa",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305776820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stephens County Hospital Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Stephens County Hospital Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

Verify at the official NPI Registry.