JENKINS COUNTY HOSPITAL LLC (NPI# 1124337308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124337308 |
| Entity Type | Organization |
| Organization Name | JENKINS COUNTY HOSPITAL LLC |
| Other Organization Name | JENKINS COUNTY HOSPITAL |
| Practice Address |
931 E Winthrope Ave Millen GA 30442-1839 |
| Mailing Address |
210 E Derenne Ave Savannah GA 31405-6736 |
| Practice Telephone | 4789824221 |
| Practice Fax Number | 4789822478 |
| Mailing Telephone | 9126445300 |
| Mailing Fax Number | 9126445260 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |
| Authorized Official Name | MICHAEL 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 | 082-270 | GA | Hospital Units |
| Other Name | Type Code |
|---|---|
| Jenkins County Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510542 | Jenkins County Hospital LLC | Orthopaedic Surgery | 16915 Hwy 27 South, Suite A, Statesboro, GA 30458 | 2012-01-04 |
| 1811264625 | Jenkins County Hospital LLC | Orthopaedic Surgery | 209a Mims Rd, Sylvania, GA 30467-1994 | 2011-11-22 |
| 1063722924 | Jenkins County Hospital LLC | Surgery | 115 Gillikin St, Twin City, GA 30471-3989 | 2010-10-13 |
| 1417225020 | Jenkins County Hospital LLC | Orthopaedic Surgery | 960 College Ave, Millen, GA 30442-1634 | 2011-12-09 |
| 1275800088 | Jenkins County Hospital LLC | Orthopaedic Surgery | 620 Sparta Rd, Sandersville, GA 31082-1803 | 2011-11-22 |
| 1225333263 | Jenkins County Hospital LLC | Internal Medicine | 532 College Ave, Millen, GA 30442-1602 | 2011-01-24 |
| 1821308834 | Jenkins County Hospital LLC | Surgery | 16915 Highway 67, Suite A, Statesboro, GA 30458-5819 | 2010-10-12 |
| 1497064679 | Jenkins County Hospital LLC | General Acute Care Hospital | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| Street Address |
931 E WINTHROPE AVE |
| City | MILLEN |
| State | GA |
| Zip Code | 30442-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452098 | Jenkins County Hospital | General Acute Care Hospital | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2006-01-26 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578117883 | Sedzer Health LLC | Medicare Defined Swing Bed Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-07-25 |
| 1467005561 | Sedzer Health LLC | Clinic/Center | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-07-18 |
| 1073039442 | Ga Medical Holdings Corp | Medicare Defined Swing Bed Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2017-08-17 |
| 1598285389 | Ga Medical Holdings Corp | Clinic/Center | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2017-06-22 |
| 1265826242 | Southland Optim Jenkins Emergency Medical Services, LLC | Emergency Medicine | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2015-03-27 |
| 1174895452 | Costrini & Meadows, PC | Internal Medicine | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2012-02-02 |
| 1497064679 | Jenkins County Hospital LLC | General Acute Care Hospital | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811443468 | Jennifer Lunsford | Nurse Practitioner | 961 East Winthrope Ave, Millen, GA 30442 | 2016-09-01 |
| 1669522801 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-11 |
| 1669535514 | Jenkins County Boe | Local Education Agency (LEA) | 1152 E Winthrope Ave, Millen, GA 30442 | 2006-12-19 |
| 1437236320 | Modesto L Campo | Internal Medicine | 961 E. Winthrope Avenue, Millen, GA 30442 | 2006-10-31 |
| 1316020696 | Pamela W. Drake | Registered Nurse | 709 Virginia Ave., Millen, GA 30442 | 2006-10-23 |
| 1669555702 | Donna E. Hendley | Registered Nurse | 709 Virginia Avenue, Millen, GA 30442 | 2006-10-23 |
| 1255384327 | Jenkins County Board of Health | Public Health or Welfare | 709 Virginia Ave, Millen, GA 30442 | 2006-05-18 |
| 1033186648 | Edmund Gordon Byne | Family Medicine | 961 E Winthrope Ave, Millen, GA 30442 | 2006-03-02 |
| 1497800098 | Amanda Harrison | Counselor | 727 Virginia Avenue, Millen, GA 30442 | 2007-01-24 |
| 1790962256 | Millen Home Care Medical, Inc | Durable Medical Equipment & Medical Supplies | 530 College Ave, Millen, GA 30442-1602 | 2008-01-28 |
| Find all providers in zip 30442 | ||||
| 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 |
|---|---|---|---|---|
| 1578117883 | Sedzer Health LLC | Medicare Defined Swing Bed Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-07-25 |
| 1073039442 | Ga Medical Holdings Corp | Medicare Defined Swing Bed Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2017-08-17 |
| 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.