Lower Oconee Community Hospital, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

208152021 Issued in GA

Legal business name

LOWER OCONEE COMMUNITY HOSPITAL, INC

Practice address

441 W Broad Street
Mount Vernon, GA 30445-2629

Phone

(912) 583-2229

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Lynan Fowler

Title

Business Office

Phone

(912) 523-5113

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MONTGOMERY INTERNAL MEDICINE Doing business as

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1164547287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 W BROAD STREET",
            "address_2": "PO BOX 546",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452629",
            "telephone_number": "912-583-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W BROAD STREET",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452629",
            "telephone_number": "912-583-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER OCONEE COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "LYNAN",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "912-523-5113"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "208152021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "324829478B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONTGOMERY INTERNAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Georgia Healthcare Center, Inc.
• Thadeus Mandrall Holloway, LPC
• Laurie Hutchins, APRN
• Immanuel House Personal Care Home, LLC
• Joyful Noise Therapy LLC
• Lower Oconee Community Hospital, Inc
• Lower Oconee Community Hospital, Inc.
• Mabd Enterprises, LLC
• Shonda Lafaye Madison, LPC
• Amber McArthur, LMSW

• Rural Health Clinic/Center in Mount Vernon, GA
• Providers in Mount Vernon, 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 Jul 11, 2013; 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.