Organization Active NPI

Meriwether Healthcare, L.L.C.

Doing business as Warm Springs Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Warm Springs, GA
National Provider Identifier
1447583893
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
099-620 Issued in GA
Legal business name
MERIWETHER HEALTHCARE, L.L.C.
Doing business as
Warm Springs Medical Center
Practice address
5995 Spring St
Warm Springs, GA 31830-2149
Phone
(706) 655-3331
Fax
(706) 655-9266
NPI assigned
Sep 16, 2009
Last updated
Apr 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Authorized official

Name
Mrs. Karen Daniel
Title
Ceo
Phone
(706) 655-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 099-620 GA Primary

Addresses

Primary practice location

5995 Spring St
Warm Springs, GA 31830-2149

Mailing address

5995 Spring St
Warm Springs, GA 31830-2149
Phone (706) 655-3331

Other identifiers 1

IdentifierTypeStateIssuer
000001284SMedicaidGA

Other names 1

  • Warm Springs Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000204 GA Part A Provider - Critical Access Hospital 1850430679 Practice locations: Warm Springs, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447583893. Details of each certification follow.

Hospital certification: CCN 11Z316

Legal name
MERIWETHER HEALTHCARE LLC
Doing business as
WARM SPRINGS MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
5995 Spring St
Warm Springs, GA 31830-2149
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Meriwether Healthcare LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pinnacle Medical, LLC Organization, Newnan, GA 5% Or Greater Direct Ownership Interest Oct 30, 2009
Meriwether County Hospital Authority Organization, Warm Springs, GA 5% Or Greater Direct Ownership Interest Oct 30, 2009
Meriwether Health Properties, Inc Organization, Warm Springs, GA 5% Or Greater Direct Ownership Interest Oct 30, 2009
Karen Daniel Individual Corporate OfficerCeo Sep 1, 2013 100%
W-2 Managing EmployeeCeo Sep 1, 2013 100%

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1447583893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5995 SPRING ST",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302149",
            "telephone_number": "706-655-3331",
            "fax_number": "706-655-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 SPRING ST",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302149",
            "telephone_number": "706-655-3331",
            "fax_number": "706-655-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIWETHER HEALTHCARE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-655-3331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "099-620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000001284S",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warm Springs Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warm Springs, GA

Sources for this page

Verify at the official NPI Registry.