Columbia Polk General Hospital, Inc.

Primary specialty

Critical Access HospitalTaxonomy code 282NC0060X

Legal business name

COLUMBIA POLK GENERAL HOSPITAL, INC.

Doing business as

Polk Medical Center

Practice address

424 N Main St
Cedartown, GA 30125-2644

Phone

(770) 748-2500

Fax

(770) 749-9904

NPI assigned

May 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Prestridge

Title

Cfo

Phone

(770) 748-8506

Specialties & licenses 1

Addresses

Other names 1

• POLK MEDICAL CENTER Doing business as

Tax ID family

Adairsville Medical Cen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Columbia Polk General Hospital, Inc.

  dba Polk Medical Center

  • Critical Access Hospital
  • Cedartown, GA
  • NPI 1932153475
  NPD tax ID

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609820661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252644",
            "telephone_number": "770-748-2500",
            "fax_number": "770-749-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252644",
            "telephone_number": "770-748-2500",
            "fax_number": "770-749-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA POLK GENERAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESTRIDGE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-748-8506"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLK MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anugra Ashwinbhai Chhaya, DPT
• Jessica Miranda Chisenall
• Clinic of Divine Health
• Heather Cochran, RN
• Jacob James Collier, MD
• Columbia Polk General Hospital, Inc. (Polk Medical Center)
• Communication at Heart, LLC
• Melissa Conrad, RN
• Krista Cooper, R.N.
• Coosa Dental Associates, LLC

• Critical Access Hospital in Cedartown, GA
• Providers in Cedartown, GA by specialty
• Critical Access Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.