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The Hospital Authority of Miller County

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Colquitt, GA

NPI 1285794750 · NPPES record last updated Nov 3, 2021

Key facts

NPI
1285794750
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
License
100118 (GA)
Legal business name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Practice address
209 N Cuthbert St
Colquitt, GA 39837-3518
Phone
(229) 758-4200
Fax
(229) 758-5198
NPI assigned
Dec 12, 2006
Organization subpart
No

Authorized official

Name
Ms. Robin A Rau
Title
Ceo
Phone
(229) 758-5954

Owners & managing parties with NPI records 10

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

Owned or controlled facilities with NPI records 5

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 14

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

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

Facilities with the same owner 5

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

Practitioners 46

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

View all 46

Affiliated clinicians 6

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in GA

Hospital certification: CCN 11Z305

Legal name
THE HOSPITAL AUTHORITY OF MILLER COUNTY
Doing business as
MILLER COUNTY HOSPITAL
Organization structure
Other · Non-profit
Enrollment address
209 N Cuthbert Street
Colquitt, GA 39837-3518
Other Hospital Practice Location

All disclosed owners & managing parties 2

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

NameRoleSinceShare
The Hospital Authority of Miller County
Organization · Colquitt, GA
Non-profit 		5% Or Greater Direct Ownership Interest Feb 24, 2014
Robin a Rau
Individual 		W-2 Managing Employee Feb 24, 2014

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Miller County Hospital
Colquitt, GA · CCN 111305		 Hospital 5% Or Greater Direct Ownership Interest Feb 24, 2014
Miller Nursing Home
Colquitt, GA · CCN 115039		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Oct 26, 1966
Calhoun Nursing Home
Edison, GA · CCN 115264		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2013
Miller Home Health
Colquitt, GA · CCN 117801		 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 16, 2020
Robert E Jennings Medical Clinic
Arlington, GA · CCN 113497		 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 4, 2013

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070829000608 GA Part a Provider - Critical Access Hospital 0244224947 Receives reassigned benefits from 1 practitioner
Practice locations: Colquitt, GA
O20230918001554 GA Part B Supplier - Hospital Department(S) 0244224947 Receives reassigned benefits from 14 practitioners
Practice locations: Colquitt, GA

National Provider Directory

Tax ID family
Miller County Hospital (15 organizations share this tax ID)

Locations

2022 E Pinetree Blvd
Thomasville, GA 31792
Phone (229) 226-6682

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 100118 GA Yes
Critical Access Hospital 282NC0060X 100118 GA

Addresses

Primary practice location

209 N Cuthbert St
Colquitt, GA 39837-3518

Mailing address

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-4200

Other identifiers

IdentifierTypeStateIssuer
000001317SMedicaidGA

Other names

  • Miller County Hospital - Swingbed Other name

Other providers in Colquitt, GA

All providers in Colquitt, GA · Medicare Defined Swing Bed Hospital Unit in Georgia

Sources for this page

Verify at the official NPI Registry.