Buchanan SCC Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BUCHANAN SCC INC

Practice address

233 Carrollton St
Buchanan, GA 30113-4917

Phone

(770) 646-3861

Fax

(770) 646-3601

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Ann Wood

Title

Administrator

Phone

(770) 646-3861

Specialties & licenses 1

Addresses

Other names 1

• Countryside Health Center Doing business as

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1902892276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 CARROLLTON ST",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134917",
            "telephone_number": "770-646-3861",
            "fax_number": "770-646-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 CARROLLTON ST",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134917",
            "telephone_number": "770-646-3861",
            "fax_number": "770-646-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCHANAN SCC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-646-3861",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 233 Carrollton Opco LLC
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• Blue Ridge Healthcare of Buchanan LLC
• Summer Dyane Boyanton
• Buchanan Healthcare Center LLC
• Comfort Care Ministries, Inc
• Christopher Evan Cook, OD
• Jeremiah Eugene Cook
• Patrick Manning Cook, PHARM.D.
• Cornerstone Autism Solutions LLC

• Skilled Nursing Facility in Buchanan, GA
• Providers in Buchanan, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.