Active NPI
Hospital Authority of Ben Hill
Doing business as Dorminy Care Clinic
- Rural Acute Care Hospital
- Fitzgerald, GA
National Provider Identifier
1124038294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- License
- 009-288
- Legal business name
- HOSPITAL AUTHORITY OF BEN HILL
- Doing business as
- Dorminy Care Clinic
- Practice address
- 200 Perry House Rd
Fitzgerald, GA 31750-8857 - Phone
- (229) 424-7100
- Fax
- (229) 424-7281
- NPI assigned
- Aug 9, 2006
- Last updated
- Apr 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paige Paulk Wynn, CPA
- Title
- Chief Financial Officer
- Phone
- (229) 424-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 009-288 | GA | Primary |
Addresses
Primary practice location
200 Perry House Rd
Fitzgerald, GA 31750-8857
Mailing address
200 Perry House Rd
PO Box 1447
Fitzgerald, GA 31750-8857
Phone (229) 424-7100
Other names 1
- Dorminy Care Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207699200000",
"number": "1124038294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PERRY HOUSE RD",
"address_2": "PO BOX 1447",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317508857",
"telephone_number": "229-424-7100",
"fax_number": "229-424-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PERRY HOUSE RD",
"city": "FITZGERALD",
"state": "GA",
"postal_code": "317508857",
"telephone_number": "229-424-7100",
"fax_number": "229-424-7281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL AUTHORITY OF BEN HILL",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2008-04-09",
"status": "A",
"authorized_official_last_name": "WYNN",
"authorized_official_first_name": "PAIGE",
"authorized_official_middle_name": "PAULK",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "229-424-7100",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "GA",
"license": "009-288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dorminy Care Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fitzgerald, GA
- Anita Ann Hogan
- Peggy Jane Hogan, LPC
- Angela Marie Hopkins, CCC,SLP
- Shae'Erica Horne
- Hospital Authority of Ben Hill (Blue Gray Community Hospice)
- Hospital Authority of Ben Hill (Dorminy Medical Center)
- Hospital Authority of Ben Hill (Dorminy Medical Center Pharmacy)
- Hospital Authority of Ben Hill (DMC EMS)
- Hospital Authority of Ben Hill (Dorminy Medical Center)
- Hospital Authority of Ben Hill (Dorminy Medical Center Swingbed)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.