Bacchus Operations Group, Inc.

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

094-391 Issued in GA

Legal business name

BACCHUS OPERATIONS GROUP, INC.

Doing business as

FLINT RIVER COMMUNITY HOSPITAL

Practice address

509 Sumter St
Montezuma, GA 31063-1733

Phone

(478) 472-3100

Fax

(478) 472-3248

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Patterson

Title

Chief Executive Officer

Phone

(478) 472-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FLINT RIVER COMMUNITY HOSPITAL Doing business as

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1922168400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310632502",
            "telephone_number": "478-472-3100",
            "fax_number": "478-472-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3100",
            "fax_number": "478-472-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACCHUS OPERATIONS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "478-472-3100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "GA",
            "license": "094-391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000149487F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLINT RIVER COMMUNITY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medicare Defined Swing Bed Hospital Unit in Montezuma, GA
• Providers in Montezuma, GA by specialty
• Medicare Defined Swing Bed Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.