Organization Active NPI

The Baxley Appling County Hospital Authority

  • Skilled Nursing Facility
  • Baxley, GA
National Provider Identifier
1265425334
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1-001-390 Issued in GA
Legal business name
THE BAXLEY APPLING COUNTY HOSPITAL AUTHORITY
Practice address
82 Walnut St
Baxley, GA 31513-0119
Phone
(912) 367-9841
Fax
(912) 366-9173
NPI assigned
Aug 24, 2005
Organization subpart
Yes
Parent organization
APPLING HEALTHCARESYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Elaine Pike
Title
Chief Financial Officer
Phone
(912) 367-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1-001-390 GA Primary

Addresses

Primary practice location

82 Walnut St
Baxley, GA 31513-0119

Mailing address

PO Box 2070
Baxley, GA 31515-2070
Phone (912) 367-9841

Other identifiers 1

IdentifierTypeStateIssuer
00140093AMedicaidGA

Other names 1

  • Appling Nursing Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Appling Healthcare Syst18 organizations share this tax ID, including this one
Part of
Appling Healthcare Syst

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1265425334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315152070",
            "telephone_number": "912-367-9841",
            "fax_number": "912-366-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 WALNUT ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130119",
            "telephone_number": "912-367-9841",
            "fax_number": "912-366-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAXLEY APPLING COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "APPLING HEALTHCARESYSTEMS",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "PIKE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "912-367-9841"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-001-390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00140093A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appling Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.