Habersham Medical Center Foundation, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HABERSHAM MEDICAL CENTER FOUNDATION, INC.

Practice address

541 Old Historic Hwy 441 N Ste 1
Demorest, GA 30535

Phone

(706) 754-2273

Fax

(706) 839-4264

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Steven Ciampa

Title

Cfo

Phone

(706) 839-4000

Specialties & licenses 1

Addresses

Other names 1

• I-CARE Pharmacy Doing business as

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1669939070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 OLD HISTORIC HWY 441 N STE 1",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-754-2273",
            "fax_number": "706-839-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 OLD HISTORIC HWY 441 N STE 1",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-754-2273",
            "fax_number": "706-839-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABERSHAM MEDICAL CENTER FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "CIAMPA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "706-839-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I-CARE Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Habersham Anesthesia Associates
• Habersham County Health Department
• Habersham Drug LTC
• Habersham Family Medicine
• Habersham Internal Medicine
• Habersham OB/GYN Associates
• Habersham Pro-Care Anesthesia
• James G Hamilton Jr., M.D.
• John J Han, DO
• Linton Harvey, PT, DPT

• All providers in Demorest, GA
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.