Active NPI
Early Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Blakely, GA
National Provider Identifier
1467527465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 49-45
- Legal business name
- EARLY MEMORIAL HOSPITAL
- Practice address
- 11740 Columbia St
Blakely, GA 39823-2574 - Phone
- (229) 723-4241
- NPI assigned
- Nov 22, 2006
- Organization subpart
- Yes
- Parent organization
- EARLY MEMORIAL HOSPITAL
Authorized official
NPPES NPI Registry- Name
- Mr. Charles D. Hightower Jr.
- Title
- Cfo
- Phone
- (229) 228-2853
Corporate family (same tax ID) 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Blakely, GA
- NPI 1386675817
-
- Critical Access Hospital
- Blakely, GA
- NPI 1548214018
-
- Rural Acute Care Hospital
- Blakely, GA
- NPI 1326357948
-
- Community/Retail Pharmacy
- Blakely, GA
- NPI 1043301872
-
- Ambulance
- Blakely, GA
- NPI 1588974521
National Provider Directory
National Provider Directory- Tax ID family
- Early Memorial Hospital
- Part of
- Early Memorial Hosp Phy
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 49-45 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
11740 Columbia St
Blakely, GA 39823-2574
Mailing address
920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 228-8800
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49-45 | Other | GA | PERMIT NUMBER |
| 000000635H | Medicaid | GA |
Other names 1
NPPES NPI Registry- Early Memorial Hospital - Swingbed
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2008.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210118400000",
"number": "1467527465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 CAIRO RD",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317924255",
"telephone_number": "229-228-8800",
"fax_number": "229-228-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11740 COLUMBIA ST",
"city": "BLAKELY",
"state": "GA",
"postal_code": "398232574",
"telephone_number": "229-723-4241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARLY MEMORIAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EARLY MEMORIAL HOSPITAL",
"enumeration_date": "2006-11-22",
"last_updated": "2008-05-07",
"status": "A",
"authorized_official_last_name": "HIGHTOWER",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "229-228-2853",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "GA",
"license": "49-45",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERMIT NUMBER",
"identifier": "49-45",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000000635H",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Early Memorial Hospital - Swingbed",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blakely, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.