SCREVEN COUNTY HOSPITAL LLC (NPI# 1083915524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083915524 |
| Entity Type | Organization |
| Organization Name | SCREVEN COUNTY HOSPITAL LLC |
| Other Organization Name | OPTIM MEDICAL CENTER - SCREVEN |
| Practice Address |
215 Mims Rd Sylvania GA 30467-1994 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 9125647426 |
| Practice Fax Number | 9125640010 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2012-02-02 |
| Authorized Official Name | MICHAEL W KLEINPETER (CEO) |
| Authorized Official Telephone | 9126445300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 124-164 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000001647S | 05 |
| Other Name | Type Code |
|---|---|
| Optim Medical Center - Screven | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578842712 | Screven County Hospital LLC | Family Medicine | 213 Mims Rd, Sylvania, GA 30467-1994 | 2011-08-05 |
| 1770886822 | Screven County Hospital LLC | Internal Medicine | 211 Mims Rd, Sylvania, GA 30467-1994 | 2010-12-13 |
| 1033428214 | Screven County Hospital LLC | Clinic/Center | 961 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| Street Address |
215 MIMS RD |
| City | SYLVANIA |
| State | GA |
| Zip Code | 30467-1994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245201094 | Screven County Hospital | General Acute Care Hospital | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-01-30 |
| 1174917157 | Southland Optim Screven Emergency Medical Services LLC | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2015-03-27 |
| 1689950594 | Screven County Family Health Center, LLC | Surgery | 215 Mims Rd, Suite 209-c, Sylvania, GA 30467-1994 | 2011-10-25 |
| 1225339898 | Screven County Hospital, LLC | General Acute Care Hospital | 215 Mims Rd, Sylvania, GA 30467-1994 | 2010-11-12 |
| 1740448885 | Anesthesia Providers of Augusta, Inc | Registered Nurse | 215 Mims Rd, Sylvania, GA 30467-1994 | 2008-05-27 |
| 1760516348 | Orthopedic Center PC | Orthopaedic Surgery | 215 Mims Rd, Sylvania, GA 30467-1994 | 2007-03-15 |
| 1356411474 | Kristi Shook Hunter | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-11-08 |
| 1952330946 | William Kent | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-07-02 |
| 1689603672 | Marian Lane | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-07-02 |
| 1184696429 | Shannon M Thomas | Nurse Anesthetist, Certified Registered | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659884237 | Rachel Oglesby Edenfield | Nurse Practitioner | 1235 Edenfield Road, Sylvania, GA 30467 | 2017-11-06 |
| 1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
| 1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1205195476 | Aacademy Adult Day &seniorliiving Facilityllc | Custodial Care Facility | 168 Davedeharahara Dr, Sylvania, GA 30467 | 2012-05-09 |
| 1407010689 | Screven County Family Medicine | Family Medicine | 215 Mims Road, Sylvania, GA 30467 | 2008-07-16 |
| 1518127687 | Sherma Peter | Family Medicine | 213 Mims Road, Sylvania, GA 30467 | 2008-06-12 |
| 1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
| 1891337572 | Allan Kipngeno | Pharmacist | 305 W Ogeechee St, Sylvania, GA 30467 | 2019-10-14 |
| 1770822066 | Screven County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| 1588903884 | Tattnall Hospital Company, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
| Find all providers in zip 30467 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992015135 | Carol I Peake LLC | Medicare Defined Swing Bed Unit | 5830 Woodrow Dr, Sylvania, OH 43560-1245 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437536372 | University Mcduffie County Regional Medical Center, Inc | Medicare Defined Swing Bed Unit | 2460 Washington Road Ne, Thomson, GA 30824-2199 | 2015-04-29 |
| 1588093637 | Premier Healthcare Investments | Medicare Defined Swing Bed Unit | 509 Sumter, Montezuma, GA 31063 | 2013-11-08 |
| 1487817169 | Hosptial Authority of Liberty County | Medicare Defined Swing Bed Unit | 462 Elma G Miles Parkway, Hinesville, GA 31313-4000 | 2008-07-03 |
| 1023287927 | Union County Hospital Authority | Medicare Defined Swing Bed Unit | 35 Hospital Road, Blairsville, GA 30512 | 2008-02-25 |
| 1467663336 | Healthspan LLP | Medicare Defined Swing Bed Unit | 351 Liberty St, Waynesboro, GA 30830-9686 | 2007-05-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1548315898 | Tift Regional Health System, Inc | Medicare Defined Swing Bed Unit | 260 Mj Taylor Rd, Adel, GA 31620-3485 | 2007-01-25 |
| 1063578862 | Taylor Telfair Regional Hospital, Inc | Medicare Defined Swing Bed Unit | Route # 1 Highway 341 South, Mcrae, GA 31055-0150 | 2006-12-28 |
| 1710099098 | Charlton Memorial Hospital | Medicare Defined Swing Bed Unit | 2449 Third St, Folkston, GA 31537-8919 | 2006-08-31 |
| 1881652212 | Pacer Health Corporation of Ga | Medicare Defined Swing Bed Unit | 1201 Siloam Rd, Greensboro, GA 30642-2811 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.