Bacchus Operations Group, Inc

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

BACCHUS OPERATIONS GROUP, INC

Practice address

509 Sumter St
Montezuma, GA 31063-1733

Phone

(478) 472-3100

Fax

(478) 472-3248

NPI assigned

Sep 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Patterson

Title

Ceo

Phone

(478) 472-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Flint River Hospital dba Riverside Treatment Center Doing business as

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1033427570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3100",
            "fax_number": "478-472-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3100",
            "fax_number": "478-472-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACCHUS OPERATIONS GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-472-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "11S190",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint River Hospital dba Riverside Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bacchus Operations Group, Inc
• Bacchus Operations Group, Inc.
• Bacchus Operations Group, Inc.
• Bacchus Operations Group, Inc.
• Bacchus Operations Group, Inc.

• Psychiatric Hospital Unit in Montezuma, GA
• Providers in Montezuma, GA by specialty
• Psychiatric Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.