John D. Archbold Memorial Hospital, Inc.

Organization Active NPI Multi-Specialty Clinic/Center · Bainbridge, GA

NPI 1972635233 · NPPES record last updated Mar 8, 2017

Key facts

NPI
1972635233
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Practice address
1323 E Shotwell St
Bainbridge, GA 39819-4252
Phone
(229) 243-0283
Fax
(229) 243-0275
NPI assigned
Mar 12, 2007
Organization subpart
No

Authorized official

Name
Mr. Gregory S. Hembree
Title
Cfo
Phone
(229) 228-2880

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
John D Archbold Memorial Hospital (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

1323 E Shotwell St
Bainbridge, GA 39819-4252

Mailing address

920 Cairo Rd
Thomasville, GA 31792-4255
Phone (229) 228-8800

Other identifiers

IdentifierTypeStateIssuer
136-91OtherGAPERMIT

Other names

  • Archbold - Bainbridge Specialty Clinic II Doing business as

Other providers in Bainbridge, GA

All providers in Bainbridge, GA · Multi-Specialty Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.