Organization Active NPI

The Cobb Foundation, Inc.

Doing business as Hart County Hospital Swingbed

  • Medicare Defined Swing Bed Hospital Unit
  • Hartwell, GA
National Provider Identifier
1871609735
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
073-494 Issued in GA
Legal business name
THE COBB FOUNDATION, INC.
Doing business as
Hart County Hospital Swingbed
Practice address
138 W Gibson St
Hartwell, GA 30643-1847
Phone
(706) 856-6100
Fax
(706) 856-6294
NPI assigned
Aug 22, 2006
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THE COBB FOUNDATION, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mr. Jerry R Wise
Title
Ceo/Administratro
Phone
(706) 856-6113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 073-494 GA Primary

Addresses

Primary practice location

138 W Gibson St
Hartwell, GA 30643-1847

Mailing address

PO Box 280
Hartwell, GA 30643-0280
Phone (706) 856-6100

Other identifiers 1

IdentifierTypeStateIssuer
00000921SMedicaidGA

Other names 1

  • Hart County Hospital Swingbed Doing business as

National Provider Directory

National Provider Directory
Part of
Halt Co Hospital

Locations

138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333

94 Cade St
Hartwell, GA 30643
Phone (706) 856-6982

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1871609735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306430280",
            "telephone_number": "706-856-6100",
            "fax_number": "706-856-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431847",
            "telephone_number": "706-856-6100",
            "fax_number": "706-856-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COBB FOUNDATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE COBB FOUNDATION, INC.",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/ADMINISTRATRO",
        "authorized_official_telephone_number": "706-856-6113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "073-494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000921S",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hart County Hospital Swingbed",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.