Organization Active NPI

Early Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Blakely, GA
National Provider Identifier
1467527465
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
49-45 Issued in GA
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 HOSPITALAs reported in NPPES

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.

National Provider Directory

National Provider Directory
Tax ID family
Early Memorial Hospital (6 organizations share this tax ID)
Part of
Early Memorial Hosp Phy

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 49-45 GA Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
49-45OtherGAPERMIT NUMBER
000000635HMedicaidGA

Other names 1

NPPES NPI Registry
  • Early Memorial Hospital - Swingbed Doing business as

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.

Verify at the official NPI Registry.