ELBERT MEMORIAL HOSPITAL (NPI# 1386077881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386077881 |
| Entity Type | Organization |
| Organization Name | ELBERT MEMORIAL HOSPITAL |
| Practice Address |
4 Medical Dr Elberton GA 30635-1830 |
| Practice Telephone | 7062833151 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | MR. JAMES YARBOROUGH (CEO) |
| Authorized Official Telephone | 7062833151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124488291 | Elbert Memorial Hospital | Otolaryngology | 46 Laurel Dr, Elberton, GA 30635-1842 | 2016-03-02 |
| 1669488250 | Elbert Memorial Hospital | General Acute Care Hospital | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELBERT MEMORIAL HOSPITAL | 4 Medical Dr, Elberton, GA 30635-1830 |
| System for Award Management (SAM) Entities | ELBERT MEMORIAL HOSPITAL FOUNDATION, INC. | 4 Medical Dr, Elberton, GA 30635-1830 |
| Street Address |
4 MEDICAL DR |
| City | ELBERTON |
| State | GA |
| Zip Code | 30635-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174917124 | Southland Consolidated Emergency Services, LLC | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1897 | 2015-03-26 |
| 1326464611 | Anmed Health | Clinic/Center | 4 Medical Dr, Elberton, GA 30635-1830 | 2014-03-11 |
| 1508287434 | Jackie Harris | Pharmacist | 4 Medical Dr, Elberton, GA 30635-1830 | 2013-12-19 |
| 1376830174 | Paul Chukelu | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1830 | 2011-06-30 |
| 1336462118 | Lifetime Quality Care, LLC | Clinic/Center | 4 Medical Dr, Elberton, GA 30635-1830 | 2010-03-08 |
| 1154477461 | Nicole Accettura Hawthorne | Dietitian, Registered | 4 Medical Dr, Elberton, GA 30635-1830 | 2007-01-27 |
| 1245341999 | James H. Barton | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-31 |
| 1083627442 | John H. Washington | Emergency Medicine | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-15 |
| 1053323675 | Gwendolyn Rose Harris | Dietitian, Registered | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-12 |
| 1669488250 | Elbert Memorial Hospital | General Acute Care Hospital | 4 Medical Dr, Elberton, GA 30635-1830 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950602 | Frank Thomas Varney | General Practice | 3557 Calhoun Falls Hwy, Elberton, GA 30635 | 2014-03-24 |
| 1922348291 | Tammy Heard Host Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 115 Upshaw Dr, Elberton, GA 30635 | 2013-02-25 |
| 1043593031 | Jeffrey Allen Burke | Pharmacist | 18 College Ave., Walgreens #11166, Elberton, GA 30635 | 2011-09-26 |
| 1467698886 | Ingles Markets Inc | Pharmacy | 903 Elberton St, Elberton, GA 30635 | 2009-01-07 |
| 1629149141 | Elbert County School District | Local Education Agency (LEA) | 50 Laurel Drive, Elberton, GA 30635 | 2006-11-13 |
| 1588745707 | Carl Mankiewicz | Chiropractor | 14 Laurel Dr, Elberton, GA 30635 | 2006-10-17 |
| 1194991349 | Denise Vernall Clark | Emergency Medical Technician, Intermediate | 258 S Thomas Street, Elberton, GA 30635 | 2008-05-07 |
| 1215106422 | City of Angels | Non-emergency Medical Transport (VAN) | 258 S Thomas Street, Elberton, GA 30635-0000 | 2008-02-22 |
| 1982964821 | Suzanne Peers Moore | Counselor | 93 Carey St, Elberton, GA 30635-1435 | 2012-05-25 |
| 1255601597 | G Daniel Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 242 N Oliver St, Elberton, GA 30635-1444 | 2012-01-04 |
| Find all providers in zip 30635 | ||||
| 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 |
|---|---|---|---|---|
| 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.