Meadows Regional Medical Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-138-1385 Issued in GA

Legal business name

MEADOWS REGIONAL MEDICAL CENTER, INC.

Doing business as

Meadows Nursing Center

Practice address

1703 Meadows LN
Vidalia, GA 30474-8915

Phone

(912) 537-8921

Fax

(912) 538-5351

NPI assigned

Aug 23, 2005

Last updated

Dec 17, 2007By 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

John Cornell

Title

Cfo

Phone

(912) 538-5881

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Meadows Nursing Center Doing business as

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1285627588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 MEADOWS LN",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748915",
            "telephone_number": "912-537-8921",
            "fax_number": "912-538-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 MEADOWS LN",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748915",
            "telephone_number": "912-537-8921",
            "fax_number": "912-538-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-538-5881"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-138-1385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00368123A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meadows Regional Cancer Center
• Meadows Regional Medical Center
• Meadows Regional Medical Center
• Meadows Regional Medical Center Inc (Meadows Regional Medicalcenter)
• Meadows Regional Medical Center Inc
• Meadows Regional Medical Center, Inc. (Meadows Imaging Center)
• Memorial Careone Home Health Services, Inc (CareOne Home Health Services-Vidalia Agency)
• Mercy Medical Clinic
• Susanna Meredith, M.D.
• Middle Georgia DME Company

• Skilled Nursing Facility in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Skilled Nursing Facility in Georgia

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