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Bacon County Health Services, Inc.

Organization Active NPI Critical Access Hospital · Alma, GA

NPI 1629185285 · NPPES record last updated Jun 24, 2010

Key facts

NPI
1629185285
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
Legal business name
BACON COUNTY HEALTH SERVICES, INC.
Practice address
302 S Wayne St
Alma, GA 31510-2922
Phone
(912) 632-8961
Fax
(912) 632-5000
NPI assigned
Aug 23, 2006
Organization subpart
No

Authorized official

Name
Cindy R Turner, CEO
Title
Chief Executive Officer
Phone
(912) 632-8961

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 114

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 114

Medicare Care Compare: Hospital

Listed as
Bacon County Hospital CCN 111327
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
Active (Provider of Services file)
Emergency services
No

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in GA

Hospital certification: CCN 111327

Legal name
BACON COUNTY HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2002
Last certification
Feb 13, 2025
Beds
25
Ownership / control type
Other
Organization structure
Corporation · Non-profit
Incorporated
Jun 15, 1995 in GA
Enrollment address
302 S Wayne St
Alma, GA 31510-2922
Other Hospital Practice Location

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger Staten
Individual 		Corporate Director
Board Member		 Nov 26, 2007
Cindy Turner
Individual 		Corporate Officer
Ceo		 Sep 1, 2005
W-2 Managing Employee
Ceo		 Sep 1, 2005
Palmer Jordan
Individual 		Corporate Director
Board Member		 Nov 26, 2007
Albert Wildes
Individual 		Corporate Director
Board Member		 Jul 1, 2011
Cheryl C Dubose
Individual 		Corporate Officer
Chief Operating Officer		 Sep 13, 2006
Corporate Director
Dir of Financial Services		 Sep 13, 2006
W-2 Managing Employee
Cfo		 Sep 13, 2016
Daniel Johnson
Individual 		Corporate Director
Board Member		 Jun 17, 2022
Charlene Bennett
Individual 		Corporate Director
Board Member		 Nov 26, 2007
Robert Stanaland
Individual 		Corporate Director
Board Member		 Nov 26, 2007
Belinda Medders
Individual 		W-2 Managing Employee
Physician Credentialing Coordinator		 Oct 5, 2007

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Twin Oaks Convalescent Center
Alma, GA · CCN 115513		 Skilled nursing facility Operational/Managerial Control Nov 26, 2007
Bacon County Community Care Center
Alma, GA · CCN 113408		 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Dec 17, 2012
Nov 20, 2002
Nicholls Family Healthcare
Nicholls, GA · CCN 118560		 Rural health clinic Operational/Managerial Control (100%) Jul 10, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040127001164 GA Part B Supplier - Clinic/Group Practice 1850294034 Receives reassigned benefits from 13 practitioners
3 other NPIs on this enrollment
Practice locations: Alma, GA
O20230202003276 GA Part a Provider - Critical Access Hospital 1850294034 Receives reassigned benefits from 1 practitioner
Practice locations: Alma, GA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Yes

Addresses

Primary practice location

302 S Wayne St
Alma, GA 31510-2922

Mailing address

PO Drawer 1987
302 South Wayne Street
Alma, GA 31510-0987
Phone (912) 632-8961

Other identifiers

IdentifierTypeStateIssuer
00000118AMedicaidGA

Other providers in Alma, GA

All providers in Alma, GA · Critical Access Hospital in Georgia

Sources for this page

Verify at the official NPI Registry.