EFFINGHAM HOSPITAL, INC. (NPI# 1245867688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245867688 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM HOSPITAL, INC. |
| Other Organization Name | EFFINGHAM HEALTH SYSTEM |
| Practice Address |
459 Highway 119 S Springfield GA 31329-3021 |
| Practice Telephone | 9127540283 |
| Practice Fax Number | 9127544412 |
| Mailing Telephone | 9127540175 |
| Mailing Fax Number | 9127542570 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | DR. FRANCINE WITT (CEO) |
| Authorized Official Telephone | 9127540160 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Effingham Health System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063849719 | Effingham Hospital, Inc. | Orthopaedic Surgery | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2013-09-26 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1962806257 | Effingham Hospital, Inc. | Internal Medicine | 800 Towne Park Dr Ste 100, Rincon, GA 31326-5160 | 2014-10-15 |
| 1245668417 | Effingham Hospital, Inc. | Preventive Medicine | 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 31407-9275 | 2013-10-24 |
| 1083042352 | Effingham Hospital, Inc. | Urology | 110 Goshen Rd, Rincon, GA 31326-5545 | 2013-10-24 |
| 1477893857 | Effingham Hospital, Inc. | Pharmacy | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2013-02-22 |
| 1245577048 | Effingham Hospital, Inc. | Obstetrics & Gynecology | 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 | 2013-01-14 |
| 1851696710 | Effingham Hospital, Inc. | Preventive Medicine | 110 Goshen Rd, Rincon, GA 31326-5545 | 2011-01-24 |
| 1750686382 | Effingham Hospital, Inc. | Family Medicine | 1451 Highway 21 S, Ste H, Springfield, GA 31329-5244 | 2011-01-12 |
| 1578876033 | Effingham Hospital, Inc. | Surgery | 459 Highway 119 S, Ste A, Springfield, GA 31329-3021 | 2010-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EFFINGHAM HOSPITAL, INC. | 459 Ga Highway 119 S, Springfield, GA 31329-3021 |
| Street Address |
459 HIGHWAY 119 S |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669435111 | Francisco Espirit De La Rosa | Emergency Medicine | 459 Highway 119 S, Springfield, GA 31329-3021 | 2006-04-07 |
| 1730792805 | Helen Letara King | Nurse Practitioner | 459 Highway 119 S, Springfield, GA 31329-3021 | 2020-08-28 |
| 1144862806 | Kalnettie Deshond Cayman | Nurse Practitioner | 459 Highway 119 S, Springfield, GA 31329-3021 | 2019-10-15 |
| 1558881078 | Ashley Kessler Dasher | Nurse Practitioner | 459 Highway 119 S, Springfield, GA 31329-3021 | 2017-06-26 |
| 1487024402 | Mary Hilliard | Anesthesiologist Assistant | 459 Highway 119 S, Springfield, GA 31329-3021 | 2015-10-02 |
| 1487023529 | Peter Wolfenberger | Anesthesiologist Assistant | 459 Highway 119 S, Springfield, GA 31329-3021 | 2015-09-18 |
| 1962871004 | Jonathan Hester | Anesthesiologist Assistant | 459 Highway 119 S, Springfield, GA 31329-3021 | 2015-09-18 |
| 1710356845 | Ansley Smith | Anesthesiologist Assistant | 459 Highway 119 S, Springfield, GA 31329-3021 | 2015-09-18 |
| 1619398328 | Southern Surgical Providers, PC | Specialist | 459 Highway 119 S, Physician Center # 2, Springfield, GA 31329-3021 | 2013-12-23 |
| 1407141690 | Katrin Usifo | Internal Medicine | 459 Highway 119 S, Springfield, GA 31329 | 2011-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386205524 | Quinate Pharmacy LLC | Pharmacy | 1569 Ga Highway 21 S, Springfield, GA 31329-5214 | 2019-06-27 |
| 1295209443 | St Johns Hospital of The Hospital Sisters of The Third Order of St F | Pharmacy | 400 N 9th St Ste 1500, Springfield, IL 62702-5310 | 2019-01-21 |
| 1770093122 | Genoa Healthcare, LLC | Pharmacy | 417 Liberty St Ste 1b, Springfield, MA 01104-3739 | 2017-10-11 |
| 1316483266 | Springfield Clinic, LLP | Pharmacy | 900 N 1st St Rm 4066, Springfield, IL 62702-3749 | 2017-01-17 |
| 1194277681 | Grove Professional Pharmacy, Inc | Pharmacy | 1636 S Glenstone Ave Ste 108, Springfield, MO 65804-1512 | 2016-10-31 |
| 1962852012 | Main Sail Enterprises South LLC | Pharmacy | 222 E Primrose St Ste B, Springfield, MO 65807-5233 | 2016-06-20 |
| 1588042816 | Main Sail Enterprises-downtown LLC | Pharmacy | 655 S Campbell Ave, Springfield, MO 65806-2901 | 2015-05-06 |
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1932529716 | Walgreen Co | Pharmacy | 440 E Tampa St Ste 100, Springfield, MO 65806-1131 | 2014-04-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 31329 |
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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.