Brooks County Hospital
Organization Active NPI Rural Health Clinic/Center · Quitman, GA
NPI 1922039833 · NPPES record last updated May 6, 2008
Key facts
- NPI
- 1922039833
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 014028 (GA)
- Legal business name
- BROOKS COUNTY HOSPITAL
- Practice address
- 907 N Court St
Quitman, GA 31643-1315 - Phone
- (229) 263-4531
- Fax
- (229) 263-5787
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles D. Hightower Jr.
- Title
- Chief Financial Officer
- Phone
- (229) 228-2853
Practitioners 10
-
Barbara Lee Brantley, M.ED., CCC-SLP
-
Jean C. Burnette, OT
-
Ike Manning Kent, P.T.
-
Robert Gardner, M.D.
-
Michael O'Connor Harding, D.O.
-
Anton Shapoval, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 014028 | GA | Yes |
Addresses
Primary practice location
907 N Court St
Quitman, GA 31643-1315
Mailing address
920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 227-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CLIA | Other | GA | 11D0265680 |
| 000000239T | Medicaid | GA |
Other names
- Brooks Medical Associates
Other providers in Quitman, GA
- Brooks County Hospital
- Brooks County Hospital
- Brooks County Hospital
- Brooks County Hospital
- Brooks County Hospital
- Brouillard Virginia Brown
- Charnissa Brown
- Jean C. Burnette
- Beverly E Carnage
- Chiropractic Works Health Center
All providers in Quitman, GA · Rural Health Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.