Organization Active NPI

BCH Medical Investors LLC

Doing business as Berrien County Hospital

  • Long Term Care Pharmacy
  • Nashville, GA
National Provider Identifier
1790928455
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHRE007337 Issued in GA
Legal business name
BCH MEDICAL INVESTORS LLC
Doing business as
Berrien County Hospital
Practice address
1221 E McPherson Ave
Nashville, GA 31639-2326
Phone
(229) 543-7381
Fax
(229) 543-1705
NPI assigned
Apr 10, 2009
Last updated
May 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Charles Jabaley
Title
Owner/Manager
Phone
(229) 543-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PHRE007337 GA Primary

Addresses

Primary practice location

1221 E McPherson Ave
Nashville, GA 31639-2326

Mailing address

1221 E McPherson Ave
Nashville, GA 31639-2326

Other identifiers 1

IdentifierTypeStateIssuer
1158713OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Berrien County Hospital Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1790928455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 E MCPHERSON AVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E MCPHERSON AVE",
            "city": "NASHVILLE",
            "state": "GA",
            "postal_code": "316392326",
            "telephone_number": "229-543-7381",
            "fax_number": "229-543-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCH MEDICAL INVESTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "JABALEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "229-543-7100"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "GA",
            "license": "PHRE007337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1158713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berrien County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.