Organization Active NPI

Murray Medical Center, Inc.

  • Land Ambulance
  • Chatsworth, GA
National Provider Identifier
1285803700
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0105125 Issued in GA
Legal business name
MURRAY MEDICAL CENTER, INC.
Practice address
104 Hospital Dr
Chatsworth, GA 30705-2058
Phone
(706) 695-4564
Fax
(706) 517-3718
NPI assigned
Feb 28, 2008
Organization subpart
Yes
Parent organization
MURRAY MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mr. Danny A Wright
Title
Administrator
Phone
(706) 695-4564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0105125 GA Primary

Addresses

Primary practice location

104 Hospital Dr
Chatsworth, GA 30705-2058

Mailing address

707 Old Dalton Ellijay Rd
P.O. Box 1406
Chatsworth, GA 30705-2029
Phone (706) 695-4564

Other identifiers 1

IdentifierTypeStateIssuer
000001383BMedicaidGA

Other names 1

  • Murray Emergency Medical Services Other name

National Provider Directory

National Provider Directory
Part of
Murray Medical Center I

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1285803700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 OLD DALTON ELLIJAY RD",
            "address_2": "P.O. BOX 1406",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052029",
            "telephone_number": "706-695-4564",
            "fax_number": "706-517-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HOSPITAL DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052058",
            "telephone_number": "706-695-4564",
            "fax_number": "706-517-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MURRAY MEDICAL CENTER, INC.",
        "enumeration_date": "2008-02-28",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-695-4564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "0105125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001383B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murray Emergency Medical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.