Chattahoochee Valley Hospital Society

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10323 Issued in AL

Legal business name

CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY

Doing business as

George H. Lanier Memorial Nursing Home

Practice address

4800 48TH St
Valley, AL 36854-3666

Phone

(334) 756-1436

Fax

(334) 756-9192

NPI assigned

May 27, 2005

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

CHATTAHOOCHEE VALLEY HOSPITAL SOCIETYAs reported in NPPES

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

Authorized official

Name

Mr. Douglas C. Dewberry

Title

Ceo

Phone

(334) 756-1401

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• George H. Lanier Memorial Nursing Home Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568465110. Details of each certification follow.

• CCN 010025 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 010025

Legal name

GEORGE H. LANIER MEMORIAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Feb 1, 2014

Provider type (POS)

Hospital – Short-term

Participating since

Jul 1, 1976

Last certification

Feb 1, 2008

Beds

115

Ownership / control type

Federal

Facility address

4800 48TH St
Valley, AL 36854

Part of

Lanier Pediatrics

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arthur F Perkins, M.D.

  • Specialist
  • Sandersville, GA
  • NPI 1376528760
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1568465110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 48TH ST",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543666",
            "telephone_number": "334-756-1436",
            "fax_number": "334-756-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 48TH ST",
            "city": "VALLEY",
            "state": "AL",
            "postal_code": "368543666",
            "telephone_number": "334-756-1436",
            "fax_number": "334-756-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHATTAHOOCHEE VALLEY HOSPITAL SOCIETY",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "DEWBERRY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-756-1401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754820S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George H. Lanier Memorial Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chattahoochee Valley Hospital (Lanier Medical Pavilion)
• Chattahoochee Valley Hospital Society (Lanier Home Health Services)
• Chattahoochee Valley Hospital Society (Lanier Health Services)
• Chattahoochee Valley Hospital Society (Lanier Primary Care)
• Chattahoochee Valley Hospital Society (Lanier Health Services)
• Chattahoochee Valley Hospital Society (Lanier Primary Care Clinic)
• Chattahoochee Valley Hosptial Society
• Jon Chervenak, MHS, OTR/L
• City of Valley EMS
• Civil Assist Patient Care Services

• Skilled Nursing Facility in Valley, AL
• Providers in Valley, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.