NPIMap

Organization Active NPI

Hospital Authority of Candler County

  • Critical Access Hospital
  • Metter, GA
National Provider Identifier
1376118505
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
HOSPITAL AUTHORITY OF CANDLER COUNTY
Practice address
400 Cedar St
Metter, GA 30439-3338
Phone
(912) 685-5741
Fax
(912) 685-3905
NPI assigned
May 20, 2021
Last updated
May 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
Mr. Willuck William Bennett
Title
Cfo
Phone
(912) 685-1769

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU
Urgent Care Clinic/Center 261QU0200X NU
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

400 Cedar St
Metter, GA 30439-3338

Mailing address

PO Box 597
Metter, GA 30439-0597
Phone (912) 685-5741

Other practice location 1

10 Doctors St
Metter, GA 30439-3337
Phone (912) 685-5715

Other practice location 2

380B Cedar St
Metter, GA 30439-4042
Phone (912) 685-1215

National Provider Directory

National Provider Directory
Tax ID family
Hosp Auth Candler Co8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1376118505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304390597",
            "telephone_number": "912-685-5741",
            "fax_number": "912-685-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CEDAR ST",
            "city": "METTER",
            "state": "GA",
            "postal_code": "304393338",
            "telephone_number": "912-685-5741",
            "fax_number": "912-685-3905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Doctors St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304393337",
            "country_code": "US",
            "telephone_number": "912-685-5715",
            "fax_number": "912-685-3461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380B Cedar St",
            "address_purpose": "LOCATION",
            "city": "Metter",
            "state": "GA",
            "postal_code": "304394042",
            "country_code": "US",
            "telephone_number": "912-685-1215",
            "fax_number": "912-685-1216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPITAL AUTHORITY OF CANDLER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WILLUCK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-685-1769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metter, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.