Hutcheson Medical Center

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

11462313 Issued in GA

Legal business name

HUTCHESON MEDICAL CENTER

Doing business as

dba Parkside at Hutcheson Medical

Practice address

110 Park City Rd
Rossville, GA 30741-3980

Phone

(706) 858-2000

Fax

(706) 858-2732

NPI assigned

Apr 3, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Stewart

Title

Ceo

Phone

(706) 858-2101

Specialties & licenses 1

Addresses

Other names 1

• dba Parkside at Hutcheson Medical Doing business as

Tax ID family

Chickamauga Family Prac2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Hutcheson Medical Center Employee Pharmacy

  • Pharmacy
  • Fort Oglethorpe, GA
  • NPI 1942295142
  NPD tax ID

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265494710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PARK CITY RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307413980",
            "telephone_number": "706-858-2000",
            "fax_number": "706-858-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARK CITY RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307413980",
            "telephone_number": "706-858-2000",
            "fax_number": "706-858-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUTCHESON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-858-2101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GA",
            "license": "11462313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Parkside at Hutcheson Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Harmon Haynes, M.C.D., CCC-SLP
• Helen Marie Bunny Hicks, PTA
• Theresa Hittle, MIDWIFE
• Shealeen Hoshowski
• Karin Hughes, APRN, PMHNP-BC
• International Cancer Foundation
• Donna Marie James, LCSW
• Dana Jenkins
• Dana Gae Johnson, CADCII, CCS
• Kirstin Joanna Johnson

• Nursing Facility/Intermediate Care Facility in Rossville, GA
• Providers in Rossville, GA by specialty
• Nursing Facility/Intermediate Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.