COMMUNITY HEALTH CARE SYSTEMS, INC. (NPI# 1245400969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245400969 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CARE SYSTEMS, INC. |
| Other Organization Name | TRICOUNTY HEALTH SYSTEMS-GIBSON |
| Practice Address |
702 West Main St Gibson GA 30810-4135 |
| Mailing Address |
Po Box 371 Wrightsville GA 31096-0371 |
| Practice Telephone | 7065983359 |
| Practice Fax Number | 7065983403 |
| Mailing Telephone | 4788643448 |
| Mailing Fax Number | 4788641288 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | CARLA W BELCHER (CEO) |
| Authorized Official Telephone | 4785527384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| TRICOUNTY HEALTH SYSTEMS-GIBSON | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194996421 | Community Health Care Systems, Inc. | Clinic/Center | 101 Watson Rd, Jeffersonville, GA 31044 | 2008-03-14 |
| 1245417435 | Community Health Care Systems, Inc. | Clinic/Center | 675 Hamilton St, Sparta, GA 31087-1837 | 2008-01-30 |
| 1104876390 | Community Health Care Systems, Inc. | Clinic/Center | 116 Smith St, Tennille, GA 31089-1465 | 2006-05-11 |
| 1952712689 | Community Health Care Systems, Inc. | Clinic/Center | 623 N Main St, Wrens, GA 30833-1178 | 2014-05-15 |
| 1336378892 | Community Health Care Systems, Inc. | Clinic/Center | 107 Fairview Park Dr, Dublin, GA 31021 | 2009-07-06 |
| 1932150422 | Community Health Care Systems, Inc. | Clinic/Center | 2251 W Elm St, Wrightsville, GA 31096-2017 | 2006-05-12 |
| Street Address |
702 WEST MAIN ST |
| City | GIBSON |
| State | GA |
| Zip Code | 30810-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1083665285 | Glascock County Board of Health | Public Health or Welfare | 658 W Main St, Gibson, GA 30810-4013 | 2006-05-12 |
| 1700250107 | Cornelia Benoit | Nurse Practitioner | 702 W Main St, Gibson, GA 30810-4014 | 2015-11-23 |
| 1508145822 | Debbie B Williford | Massage Therapist | 43 East Main Street, Gibson, GA 30810-4200 | 2011-08-04 |
| 1972597847 | Glascock County Health Care LLC | Skilled Nursing Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-07 |
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205101177 | Dana Durst Pittman | Speech-Language Pathologist | 4667 Bayou Black Dr, Gibson, LA 70356-3312 | 2012-03-12 |
| 1285763805 | Family Alternatives, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13880 Francis St, Gibson, NC 28343-8360 | 2007-03-02 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1083665285 | Glascock County Board of Health | Public Health or Welfare | 658 W Main St, Gibson, GA 30810-4013 | 2006-05-12 |
| 1972597847 | Glascock County Health Care LLC | Skilled Nursing Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-07 |
| 1700250107 | Cornelia Benoit | Nurse Practitioner | 702 W Main St, Gibson, GA 30810-4014 | 2015-11-23 |
| 1609175595 | Rha Health Services Nc, LLC | Community/Behavioral Health | 13880 Francis St, Gibson, NC 28343-8360 | 2011-03-18 |
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| Find all providers in GIBSON | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
| 1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
| 1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
| 1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
| 1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
| 1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
| 1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
| 1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
| 1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
| 1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
| 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.