NPIMap

Organization Active NPI

Candler Hospital, Inc.

  • Clinical Medical Laboratory
  • Savannah, GA
National Provider Identifier
1972739803
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
025-002 Issued in GA
Legal business name
CANDLER HOSPITAL, INC.
Practice address
5353 Reynolds St
Savannah, GA 31405-6015
Phone
(912) 819-5290
Fax
(912) 819-5295
NPI assigned
Jun 5, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Paul P Hinchey
Title
President/Ceo
Phone
(912) 819-6901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 025-002 GA Primary

Addresses

Primary practice location

5353 Reynolds St
Savannah, GA 31405-6015

Mailing address

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-5290

Other identifiers 2

IdentifierTypeStateIssuer
11D0022060OtherGACLIA ID NUMBER
00000327AMedicaidGA

Other names 1

  • CANDLER HOSPITAL PATHOLOGY LAB Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0022060Candler Hospital Pathology Laboratory5353 Reynolds Street, Savannah, GA 31405AccreditationFeb 27, 2027
11D0676501Candler Hospital Respiratory Care Services5353 Reynolds Street, Savannah, GA 31405AccreditationJan 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Candler Hospital Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1972739803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-5290",
            "fax_number": "912-819-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 REYNOLDS ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056015",
            "telephone_number": "912-819-5290",
            "fax_number": "912-819-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "HINCHEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "912-819-6901"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "025-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "11D0022060",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000327A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANDLER HOSPITAL PATHOLOGY LAB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.