Glynn-Brunswick Memorial Hospital Authority

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1-121-1535 Issued in GA

Legal business name

GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY

Doing business as

Southeast Georgia Health System - Transitional Care Unit

Practice address

2415 Parkwood Dr
Brunswick, GA 31520-4722

Phone

(912) 466-7000

Fax

(912) 466-7026

NPI assigned

Jul 25, 2006

Last updated

Jun 27, 2008By 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

Mr. Michael David Scherneck, CPA

Title

Executive Vice President & Cfo

Phone

(912) 466-7049

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Southeast Georgia Health System - Transitional Care Unit Doing business as

Locations

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1306869003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-7000",
            "fax_number": "912-466-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 PARKWOOD DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204722",
            "telephone_number": "912-466-7000",
            "fax_number": "912-466-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNN-BRUNSWICK MEMORIAL HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SCHERNECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT & CFO",
        "authorized_official_telephone_number": "912-466-7049",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "1-121-1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00830827A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51000165",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Georgia Health System - Transitional Care Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glynn County Board of Health (Coastal Health District-Brunswick)
• Glynn County Board of Health (Glynn County Health Department)
• Glynn County Georgia
• Glynn County Heatlh Department (Coastal Health District)
• Glynn Urologists, P.C.
• Glynn-Brunswick Memorial Hospital Authority (Southeast Georgia Regional Medical Center)
• Patrick E Godbey, M.D.
• Rebecca Elizabeth Godwin, LMT
• Ryan Lee Goetz, MD
• Golden Hearts Home Health LLC

• Skilled Nursing Facility in Brunswick, GA
• Providers in Brunswick, 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 Jun 27, 2008; 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.