Jenkins County Hospital LLC
Organization Active NPI Critical Access Hospital · Millen, GA
NPI 1497064679 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1497064679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 082-270 (GA)
- Legal business name
- JENKINS COUNTY HOSPITAL LLC
- Practice address
- 931 E Winthrope Ave
Millen, GA 30442-1839 - Phone
- (478) 982-4221
- Fax
- (478) 982-2478
- NPI assigned
- Oct 5, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert Guenthner
- Title
- Secretary of Jenkins County Hospita
- Phone
- (312) 627-8247
Other NPIs on the same Medicare enrollment 10
Practitioners 39
-
Prakul Chandra, MD
-
Jean M Bailey, NP-C
-
Heywood Kyle Gay, MD
-
Sidney Joseph Morgan, M.D.
-
Jeremy Shearer, PT
-
Jodi Brannen Gilmer, PA-C
-
Curtis Cheeks Jr., M.D.
-
David M Cheney, M.D.
-
Catherine K Dickens, M.D.
-
Eric G. Fogam, MD
-
Kevin D Keith, D.O.
-
Charles W. Klein III, PA-C
-
Alison A. Lauber, MD
-
John Charles Meholic, M.D.
-
John Paul Owensby, D.O.
-
Spencer M. Paterson, M.D.
-
Sherma Peter, M.D.
-
Otis Samuel Powell Jr., M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110126000836 | GA | Part B Supplier - Clinic/Group Practice | 0143419820 |
Receives reassigned benefits from 5 practitioners 10 other NPIs on this enrollment Practice locations: Millen, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 082-270 | GA | Yes |
Addresses
Primary practice location
931 E Winthrope Ave
Millen, GA 30442-1839
Mailing address
210 E Derenne Ave
Savannah, GA 31405-6736
Phone (912) 644-5300
Other names
- Optim Medical Center - Jenkins
Other providers in Millen, GA
- Jenkins County Health Department
- Jenkins County Hospital
- Jenkins County Hospital LLC
- Jenkins County Hospital LLC
- Jenkins County Hospital LLC
- Jenkins County Hosptial LLC
- Bonnie Johnson
- Linder Pharmacy, Inc
- Millen Dialysis Clinic LLC
- Millen Home Care Medical, Inc
All providers in Millen, GA · Critical Access Hospital in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.