NPIMap

Organization Active NPI

Lower Oconee Community Hospital, Inc

Doing business as Lower Oconee Rural Health Clinic at Brewton Parker

  • Rural Health Clinic/Center
  • Mount Vernon, GA
National Provider Identifier
1306114004
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LOWER OCONEE COMMUNITY HOSPITAL, INC
Doing business as
Lower Oconee Rural Health Clinic at Brewton Parker
Practice address
421 W Robinson Dr
Mount Vernon, GA 30445-2935
Phone
(912) 583-4739
Fax
(912) 583-4774
NPI assigned
Dec 8, 2011
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Peyton A Smith
Title
Ceo
Phone
(912) 523-5113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

421 W Robinson Dr
Mount Vernon, GA 30445-2935

Mailing address

111 N 3Rd St
P O Box 398
Glenwood, GA 30428-0398
Phone (912) 583-4739

Other names 1

  • Lower Oconee Rural Health Clinic at Brewton Parker Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lower Oconee Community Hospital Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1306114004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 3RD ST",
            "address_2": "P O BOX 398",
            "city": "GLENWOOD",
            "state": "GA",
            "postal_code": "304280398",
            "telephone_number": "912-583-4739",
            "fax_number": "912-583-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W ROBINSON DR",
            "city": "MOUNT VERNON",
            "state": "GA",
            "postal_code": "304452935",
            "telephone_number": "912-583-4739",
            "fax_number": "912-583-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER OCONEE COMMUNITY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PEYTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-523-5113"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lower Oconee Rural Health Clinic at Brewton Parker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.