Bacchus Operations Group, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

BACCHUS OPERATIONS GROUP, INC.

Practice address

502 Sumter St
Montezuma, GA 31063-1734

Phone

(478) 472-8178

Fax

(478) 472-3289

NPI assigned

Oct 11, 2006

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

Chief Executive Officer

Phone

(478) 472-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Flint River Rural Health Clinic - Oglethorpe Doing business as

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1104914480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "address_2": "P.O. BOX 770 (31063-2502)",
            "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": "502 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631734",
            "telephone_number": "478-472-8178",
            "fax_number": "478-472-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACCHUS OPERATIONS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "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": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "478-472-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00014987C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint River Rural Health Clinic - Oglethorpe",
            "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.
• Bridget April Barrow, NP
• Lucille Brown
• Careconnect Health, Inc.

• Rural Health Clinic/Center in Montezuma, GA
• Providers in Montezuma, GA by specialty
• Rural Health Clinic/Center 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.