Organization Active NPI

Lower Oconee Community Hospital Inc

  • Critical Access Hospital
  • Glenwood, GA
National Provider Identifier
1184771586
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
LOWER OCONEE COMMUNITY HOSPITAL INC
Practice address
111 N 3Rd Street
P O BX 398
Glenwood, GA 30428
Phone
(912) 523-5113
Fax
(912) 523-5036
NPI assigned
Jan 5, 2007
Last updated
Jul 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Mrs. Colen Nolen
Title
Ceo
Phone
(912) 523-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

111 N 3Rd Street
P O BX 398
Glenwood, GA 30428

Mailing address

111 N 3Rd Street
P O BX 398
Glenwood, GA 30428
Phone (912) 523-5113

Other identifiers 1

IdentifierTypeStateIssuer
00002076AMedicaidGA

National Provider Directory

National Provider Directory

Locations

421 W Robinson Dr
Mount Vernon, GA 30445
Phone (912) 583-0100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1184771586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 3RD STREET",
            "address_2": "P O BX 398",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "30428",
            "telephone_number": "912-523-5113",
            "fax_number": "912-523-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 3RD STREET",
            "address_2": "P O BX 398",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "30428",
            "telephone_number": "912-523-5113",
            "fax_number": "912-523-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER OCONEE COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "COLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-523-5113",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00002076A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.