Flint River Community Hospital, LLC

Primary specialty

Rural Acute Care HospitalTaxonomy code 282NR1301X

Legal business name

FLINT RIVER COMMUNITY HOSPITAL, LLC

Practice address

509 Sumter St
Montezuma, GA 31063-1733

Phone

(866) 727-4612

Fax

(630) 470-6092

NPI assigned

Jul 10, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Naveen Bekkam, M.D.

Title

President

Phone

(866) 727-4612

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/flntrvr-0a2e2099

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1285075929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 QUADRANGLE DR",
            "address_2": "SUITE 110",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403412",
            "telephone_number": "866-727-4612",
            "fax_number": "630-470-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "866-727-4612",
            "fax_number": "630-470-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT RIVER COMMUNITY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "BEKKAM",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-727-4612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgia CVS Pharmacy LLC

• Rural Acute Care Hospital in Montezuma, GA
• Providers in Montezuma, GA by specialty
• Rural Acute Care Hospital in Georgia

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