NPIMap

Organization Active NPI

Pacer Health Corporation of Ga

Doing business as Minnie G Boswell Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Greensboro, GA
National Provider Identifier
1881652212
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PACER HEALTH CORPORATION OF GA
Doing business as
Minnie G Boswell Memorial Hospital
Practice address
1201 Siloam Rd
Greensboro, GA 30642-2811
Phone
(706) 453-7331
Fax
(706) 453-2812
NPI assigned
May 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cassandra Syme
Title
Administrator
Phone
(706) 453-7331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1201 Siloam Rd
Greensboro, GA 30642-2811

Mailing address

1201 Siloam Rd
Greensboro, GA 30642-2811
Phone (706) 453-7331

Other names 1

  • MINNIE G BOSWELL MEMORIAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881652212. Details of each certification follow.

Hospital certification: CCN 110014

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MINNIE G BOSWELL MEMORIAL HOSPITAL
Certification status
Terminated Other: provider status change, Jan 31, 2003
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 1, 1993
Beds
44
Ownership / control type
Hospital district or authority
Facility address
1201 Siloam Rd
Greensboro, GA 30642

National Provider Directory

National Provider Directory
Tax ID family
Minnie G Boswell Memorial Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881652212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SILOAM RD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422811",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SILOAM RD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422811",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER HEALTH CORPORATION OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SYME",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-453-7331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MINNIE G BOSWELL MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.