Organization Active NPI

Healthspan LLP

  • Medicare Defined Swing Bed Hospital Unit
  • Waynesboro, GA
National Provider Identifier
1467663336
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
HEALTHSPAN LLP
Doing business as
Burke Medical Center
Practice address
351 Liberty St
Waynesboro, GA 30830-9686
Phone
(706) 554-4435
Fax
(706) 554-4435
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Jennifer A Royal
Title
Administrator
Phone
(706) 554-4435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

351 Liberty St
Waynesboro, GA 30830-9686

Mailing address

351 Liberty St
Waynesboro, GA 30830-9686
Phone (706) 554-4435

Other names 1

  • Burke Medical Center Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1467663336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686",
            "telephone_number": "706-554-4435",
            "fax_number": "706-554-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 LIBERTY ST",
            "city": "WAYNESBORO",
            "state": "GA",
            "postal_code": "308309686",
            "telephone_number": "706-554-4435",
            "fax_number": "706-554-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSPAN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "ROYAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-554-4435"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burke Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.