MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC. (NPI# 1194829580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194829580 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HEALTH UNIVERSITY MEDICAL CENTER INC. |
| Practice Address |
5002 Waters Ave Savannah GA 31404-6226 |
| Mailing Address |
4700 Waters Ave Savannah GA 31404-6220 |
| Practice Telephone | 9123502324 |
| Practice Fax Number | 9123505824 |
| Mailing Telephone | 9123503719 |
| Mailing Fax Number | 9123503948 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2017-05-15 |
| Authorized Official Name | LAURA DOW (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9123508613 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 025-377 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BLUE CROSS BLUE SHIELD | 001216 | 01 |
| FL | 091693500 | 05 | |
| SC | 117736 | 05 | |
| GA | 00001273A | 05 | |
| GA | MEDICAID CMO | 10006521 | 01 |
| GA | MEDICAID CMO | 486 | 01 |
| SC | 456640 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881798965 | Memorial Health University Medical Center Inc. | Rehabilitation Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2006-09-11 |
| 1689776841 | Memorial Health University Medical Center Inc. | General Acute Care Hospital | 4700 Waters Ave, Savannah, GA 31404-6220 | 2006-09-01 |
| Street Address |
5002 WATERS AVE |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31404-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518929223 | Edward Morris Drohan IIi | Psychologist | 5002 Waters Ave, Savannah, GA 31404-6226 | 2006-04-06 |
| 1285147165 | Savannah Behavioral Health Associates, LLC | Psychiatry & Neurology | 5002 Waters Ave, Savannah, GA 31404-6226 | 2017-11-14 |
| 1881056208 | Holly Foxworth Veal | Nurse Practitioner | 5002 Waters Ave, Savannah, GA 31404-6226 | 2016-03-24 |
| 1831535202 | Ashley Mabina Taylor | Pediatrics | 5002 Waters Ave, Savannah, GA 31404-6226 | 2013-05-13 |
| 1487097010 | Charrelle Monet Coates | Pediatrics | 5002 Waters Ave, Savannah, GA 31404 | 2013-04-13 |
| 1437492287 | Kimberly Marie Law | Pediatrics | 5002 Waters Ave, Savannah, GA 31404-6226 | 2013-03-30 |
| 1487935979 | Jessica Summers Donaldson | Pediatrics | 5002 Waters Ave, Savannah, GA 31404 | 2011-08-29 |
| 1740443332 | Alison E Niebanck | Pediatrics | 5002 Waters Ave, Savannah, GA 31404-6226 | 2008-07-03 |
| 1083639777 | Andrew Wallace Gunter | Pediatrics | 5002 Waters Ave, Savannah, GA 31404-6226 | 2006-07-13 |
| 1972530525 | Donna L Evans | Pediatrics | 5002 Waters Ave, Savannah, GA 31404 | 2006-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043864580 | Carli A Boatright | Registered Nurse | 4750 Waters Ave Suite 206, Savannah, GA 31404 | 2019-08-01 |
| 1619530573 | Morgan Johnson | Student in an Organized Health Care Education/Training Program | Memorial Health University Medical Center, 4700 Waters Ave, Savannah, GA 31404 | 2019-04-17 |
| 1477050243 | Kevin Timperman | Student in an Organized Health Care Education/Training Program | 4700 Waters Avenus, Surgery Residency Program, Mhumc, Savannah, GA 31404 | 2018-04-09 |
| 1376048959 | Nina Jo Paletta | Student in an Organized Health Care Education/Training Program | Memorial University Medical Center, 4700 Waters Ave., Savannah, GA 31404 | 2018-03-27 |
| 1972036200 | Jose Adrian Lara Gonzalez | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Memorial University Medical Center, Internal Medicine Residency Program, Savannah, GA 31404 | 2017-04-04 |
| 1407210396 | Lexie Hester Vaughn | Student in an Organized Health Care Education/Training Program | 1250 East 66th St, Savannah, GA 31404 | 2016-04-07 |
| 1336503291 | Miles Love | Student in an Organized Health Care Education/Training Program | 1250 East 66th Street, Savannah, GA 31404 | 2016-04-07 |
| 1134536881 | David Patch | Specialist/Technologist | Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 | 2014-07-15 |
| 1962846683 | Alan Danilo Zevallos | Internal Medicine | 4700 Waters Avenue, University Medical Center, Internal Medicine Residency Program, Memorial Health, Savannah, GA 31404 | 2013-04-24 |
| 1730446394 | Joshua Ryan Fann | Prosthetist | 3840 Waters Ave, Savannah, GA 31404 | 2012-04-19 |
| Find all providers in zip 31404 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922230648 | Peachstate Psychiatric Services, Inc. | Psychiatric Unit | 1720 Peachtree St Nw Ste 640, Atlanta, GA 30309-2450 | 2009-08-13 |
| 1982634572 | Gwinnett Hospital System, Inc. | Psychiatric Unit | 250 Scenic Hwy, Lawrenceville, GA 30045-5675 | 2006-07-03 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
| 1861926438 | Evans Memorial Hospital, Inc. | Psychiatric Unit | 200 N River St, Claxton, GA 30417-1659 | 2017-04-20 |
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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.