NPIMap

Organization Active NPI

Morgan County, Georgia Hospital Authority

  • Community/Retail Pharmacy
  • Madison, GA
National Provider Identifier
1487219192
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MORGAN COUNTY, GEORGIA HOSPITAL AUTHORITY
Practice address
1740 Lions Club Road
Madison, GA 30650
Phone
(706) 342-1667
Fax
(706) 342-2046
NPI assigned
May 8, 2019
Organization subpart
Yes
Parent organization
MORGAN COUNTY, GEORGIA HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Ralph Amado Castillo
Title
Ceo
Phone
(706) 752-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1740 Lions Club Road
Madison, GA 30650

Mailing address

1740 Lions Club Road
Madison, GA 30650
Phone (706) 342-1667

Other names 1

  • Morgan Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Morgan Physician Services6 organizations share this tax ID, including this one
Part of
Morgan Physician Services

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1487219192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 LIONS CLUB ROAD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "30650",
            "telephone_number": "706-342-1667",
            "fax_number": "706-342-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 LIONS CLUB ROAD",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "30650",
            "telephone_number": "706-342-1667",
            "fax_number": "706-342-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY, GEORGIA HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORGAN COUNTY, GEORGIA HOSPITAL AUTHORITY",
        "enumeration_date": "2019-05-08",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "AMADO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-752-2247"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morgan Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morgan Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.