WALTER L SHEPEARD COMMUNITY BLOOD CTR (NPI# 1285829192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285829192 |
| Entity Type | Organization |
| Organization Name | WALTER L SHEPEARD COMMUNITY BLOOD CTR |
| Other Organization Name | SHEPEARD COMMUNITY BLOOD CTR |
| Practice Address |
1533 Wrightsboro Road Augusta GA 30904 |
| Practice Telephone | 7067374551 |
| Practice Fax Number | 7067335214 |
| Mailing Telephone | 7067374551 |
| Mailing Fax Number | 7067335214 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |
| Authorized Official Name | MR. VOLKER D DUBE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7067374551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 03293 | GA | Laboratories |
| Other Name | Type Code |
|---|---|
| Shepeard Community Blood Ctr | Doing Business As Name - Organization |
| Street Address |
1533 WRIGHTSBORO ROAD |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417262643 | Nevada Medical Choice Corp | Clinical Medical Laboratory | 985 Broad St, Ste A, Augusta, GA 30901-1286 | 2010-08-12 |
| 1528271020 | Advanced Sleep Technologies, Inc. | Clinical Medical Laboratory | 2816 Hillcreek Dr, Suite A, Augusta, GA 30909-5631 | 2007-05-08 |
| 1407985302 | State of Maine Health and Environmental Tessting Laboratory | Clinical Medical Laboratory | Station 12, 221 State Street, Augusta, ME 04333-0001 | 2007-03-05 |
| 1841203429 | Metamark Laboratories, Inc. | Clinical Medical Laboratory | 985 Broad St., Suite A, Augusta, GA 30901-1286 | 2006-08-14 |
| 1568402345 | Mcgh-ppg Reproductive Lab, LLC | Clinical Medical Laboratory | 907 15th St, Augusta, GA 30901-2607 | 2006-06-08 |
| 1972560548 | Augusta Laboratory, Inc. | Clinical Medical Laboratory | 1223 Augusta West Pkwy, Augusta, GA 30909-1807 | 2006-04-27 |
| 1578960456 | Pathology Consultants of Augusta, P.C. | Clinical Medical Laboratory | 3540 Wheeler Rd, Suite 617, Augusta, GA 30909-1871 | 2014-11-20 |
| 1699102590 | University Health Services, Inc | Clinical Medical Laboratory | 1350 Walton Way, Augusta, GA 30901-2612 | 2013-10-09 |
| 1871834887 | University Health Resources Inc | Clinical Medical Laboratory | 1350 Walton Way, Augusta, GA 30901-2612 | 2013-03-15 |
| 1154499986 | The Pathology Associates, Pa | Clinical Medical Laboratory | 6 E Chestnut St, Augusta, ME 04330-5717 | 2006-12-01 |
| Find all providers in AUGUSTA | ||||
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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.