Evans Memorial Hospital, Inc.
Organization Active NPI Nursing Facility/Intermediate Care Facility · Glennville, GA
NPI 1366461857 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366461857
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 11321521 (GA)
- Legal business name
- EVANS MEMORIAL HOSPITAL, INC.
- Practice address
- 721 N Downing Musgrove Hwy
Glennville, GA 30427-2208 - Phone
- (912) 654-2141
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Martha F Tatum
- Title
- Ceo
- Phone
- (912) 739-5105
National Provider Directory
Locations
721 N Veterans Blvd
Glennville, GA 30427
Phone (912) 654-2138
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 11321521 | GA | Yes |
Addresses
Primary practice location
721 N Downing Musgrove Hwy
Glennville, GA 30427-2208
Mailing address
721 N Downing Musgrove Hwy
Glennville, GA 30427-2208
Phone (912) 654-2141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00141171A | Medicaid | GA |
Other names
- GLENVUE NURSING HOME
Other providers in Glennville, GA
- Brenna Dreggors
- Carlton Wendell Durrence III
- Kenneth Lane Durrence
- Sharon B. Durrence
- Julia Delane Easterling
- Abbie Floyd
- Octavian Demetrius Ford
- Elizabeth Navarrete Garcia
- Georgia Eye Institute of the Southeast, LLC.
- Tia Givens
All providers in Glennville, GA · Nursing Facility/Intermediate Care Facility in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.