NPIMap

Organization Active NPI

Pacer Health Management Corporation of Georgia

Doing business as Minnie G. Boswell Memorial Hospital Clinic

  • Rural Health Clinic/Center
  • Greensboro, GA
National Provider Identifier
1992809990
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
IN PROCESS Issued in GA
Legal business name
PACER HEALTH MANAGEMENT CORPORATION OF GEORGIA
Doing business as
Minnie G. Boswell Memorial Hospital Clinic
Practice address
1201 Siloam Rd
Greensboro, GA 30642-2811
Phone
(706) 453-7331
Fax
(706) 453-2812
NPI assigned
Sep 11, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John A CHI
Title
Ceo
Phone
(305) 828-7660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X IN PROCESS GA Primary

Addresses

Primary practice location

1201 Siloam Rd
Greensboro, GA 30642-2811

Mailing address

1201 Siloam Rd
Greensboro, GA 30642-2811
Phone (706) 453-7331

Other names 1

  • Minnie G. Boswell Memorial Hospital Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minnie G Boswell Memorial Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992809990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 SILOAM RD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422811",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SILOAM RD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422811",
            "telephone_number": "706-453-7331",
            "fax_number": "706-453-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACER HEALTH MANAGEMENT CORPORATION OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-828-7660"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "GA",
            "license": "IN PROCESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnie G. Boswell Memorial Hospital Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.