NPIMap

Organization Active NPI

Dodge County Hospital Authority

  • Rural Health Clinic/Center
  • Eastman, GA
National Provider Identifier
1831490895
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
DODGE COUNTY HOSPITAL AUTHORITY
Practice address
911 Plaza Ave
Eastman, GA 31023-6785
Phone
(478) 374-4410
Fax
(478) 374-3756
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Mike Hester
Title
Cfo
Phone
(478) 448-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

911 Plaza Ave
Eastman, GA 31023-6785

Mailing address

PO Box 4128
Eastman, GA 31023-4128

Other names 1

  • Ocmulgee Internal Medicine and Nephrology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dodge County Hospital C6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1831490895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4128",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310234128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236785",
            "telephone_number": "478-374-4410",
            "fax_number": "478-374-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DODGE COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-448-4050"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocmulgee Internal Medicine and Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eastman, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.