NPIMap

Organization Active NPI

Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
National Provider Identifier
1104350057
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
054526 Issued in GA
Legal business name
EVANS MEMORIAL HOSPITAL, INC.
Practice address
200 N River St
Claxton, GA 30417-1659
Phone
(912) 739-2611
Fax
(912) 739-5101
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Mr. John W Wiggins
Title
Cfo
Phone
(912) 739-5139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 054526 GA Primary

Addresses

Primary practice location

200 N River St
Claxton, GA 30417-1659

Mailing address

200 N River St
Claxton, GA 30417-1659
Phone (912) 739-2611

National Provider Directory

National Provider Directory
Tax ID family
Evans Memorial6 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1104350057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N RIVER ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171659",
            "telephone_number": "912-739-2611",
            "fax_number": "912-739-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N RIVER ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304171659",
            "telephone_number": "912-739-2611",
            "fax_number": "912-739-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-739-5139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "054526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claxton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.