NPIMap

Organization Active NPI

Morgan County Georgia Hospital Authority

Doing business as Morgan Medical Center Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Madison, GA
National Provider Identifier
1235348053
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
104-519 Issued in GA
Legal business name
MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY
Doing business as
Morgan Medical Center Swingbed
Morgan Memorial Hospital Swingbed
Practice address
1740 Lions Club Rd
Madison, GA 30650-4762
Phone
(706) 752-2284
Fax
(706) 342-3419
NPI assigned
May 21, 2007
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Ralph Amado Castillo
Title
Ceo
Phone
(706) 752-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 104-519 GA Primary

Addresses

Primary practice location

1740 Lions Club Rd
Madison, GA 30650-4762

Mailing address

PO Box 860
Madison, GA 30650-0860
Phone (706) 752-2284

Other names 2

  • Morgan Medical Center Swingbed Doing business as
  • Morgan Memorial Hospital Swingbed Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080523000468 GA Part A Provider - Critical Access Hospital 0446148597 Practice locations: Madison, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235348053. Details of each certification follow.

Hospital certification: CCN 11Z304

Legal name
MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY
Doing business as
MORGAN MEMORIAL HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
1740 Lions Club Rd
Madison, GA 30650-4762

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Morgan Co Ga Hospital Auth6 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.

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Morgan County Georgia Hospital Authority Organization, Madison, GA Operational/Managerial Control Nov 21, 2007
Courtney Moore Individual W-2 Managing EmployeeCfo Feb 14, 2013
Ralph Castillo Individual W-2 Managing EmployeeCeo Feb 14, 2013
Patrick Cook Individual W-2 Managing EmployeeCfo Mar 11, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morgan Medical CenterMadison, GA, CCN 111304 Hospital Operational/Managerial Control Nov 21, 2007

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1235348053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306500860",
            "telephone_number": "706-752-2284",
            "fax_number": "706-342-3419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 LIONS CLUB RD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306504762",
            "telephone_number": "706-752-2284",
            "fax_number": "706-342-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "AMADO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-752-2247"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "104-519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgan Medical Center Swingbed",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morgan Memorial Hospital Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, GA

Sources for this page

Verify at the official NPI Registry.