EARLY MEMORIAL HOSPITAL (NPI# 1467527465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467527465 |
| Entity Type | Organization |
| Organization Name | EARLY MEMORIAL HOSPITAL |
| Other Organization Name | EARLY MEMORIAL HOSPITAL - SWINGBED |
| Practice Address |
11740 Columbia St Blakely GA 39823-2574 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2297234241 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 2292288892 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | MR. CHARLES D. HIGHTOWER JR. (CFO) |
| Authorized Official Telephone | 2292282853 |
| Is Organization Subpart | Y |
| Parent Organization Name | EARLY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 49-45 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000000635H | 05 | |
| GA | PERMIT NUMBER | 49-45 | 01 |
| Other Name | Type Code |
|---|---|
| Early Memorial Hospital - Swingbed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518983428 | Early Memorial Hospital | Ambulance | 11740 Columbia St, Blakely, GA 39823-2574 | 2006-07-14 |
| 1174555734 | Early Memorial Hospital | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2006-07-06 |
| 1386675817 | Early Memorial Hospital | Clinic/Center | 11168 Columbia St, Suite B, Blakely, GA 39823-3474 | 2006-07-05 |
| 1548214018 | Early Memorial Hospital | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2006-05-20 |
| Street Address |
11740 COLUMBIA ST |
| City | BLAKELY |
| State | GA |
| Zip Code | 39823-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083695498 | Valerie Rebecca Jones | Pharmacist | 11740 Columbia St, Blakely, GA 39823-2574 | 2005-11-11 |
| 1346893765 | Lifebrite Hospital Group, LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2019-07-24 |
| 1467967836 | Stacey R Gale | Pharmacist | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-12-07 |
| 1346773363 | Lifebrite Hospital Group of Early LLC | Skilled Nursing Facility | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
| 1194258129 | Lifebrite Hospital Group of Early LLC | Clinic/Center | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
| 1922531953 | Lifebrite Hospital Group of Early LLC | Pharmacy | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-06 |
| 1205368792 | Lifebrite Hospital Group of Early LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-04-03 |
| 1104358811 | Lifebrite Hospital Group of Early LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-31 |
| 1598297590 | Lifebrite Hospital Group of Early LLC | General Acute Care Hospital | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-29 |
| 1548534910 | Pioneer Health Services of Early County, LLC | Psychiatric Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2012-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922546 | Donna Lashawn Mells-mccoy | Social Worker | 89 Balcom Ave, Blakely, GA 39823 | 2016-06-10 |
| 1063562221 | Self Discovery Counseling and Consulting Inc | Counselor | 116 South Main St., Blakely, GA 39823 | 2007-01-11 |
| 1619046786 | Eckerd Youth Alternatives Inc | Psychiatric Residential Treatment Facility | 313 E Tu Nake Place, Blakely, GA 39823 | 2006-11-06 |
| 1780607754 | Primary Care of Southwest Georgia, Inc. | Nurse Practitioner | 360 College Street, Blakely, GA 39823 | 2006-07-25 |
| 1588014807 | Dave Stewart | Family Medicine | 360 College St, Blakely, GA 39823 | 2016-06-17 |
| 1497805063 | Miller County Hospital and Miller Nursing Home | Clinic/Center | 11045 Columbia St, Blakely, GA 39823 | 2007-01-12 |
| 1437345006 | Ralph Boyd Phillips Jr. | Chiropractor | 12221 Columbia Road, Blakely, GA 39823-0231 | 2007-09-18 |
| 1649753773 | Kelly Diane Mccarley | Nurse Practitioner | 1908 Tarver Dr, Blakely, GA 39823-1540 | 2018-09-14 |
| 1437585635 | Marrian Alexander | Nurse Practitioner | 1924 Tarver Dr, Blakely, GA 39823-1540 | 2013-09-19 |
| 1508403049 | Rachel Lewis | Specialist/Technologist | 326 Tom Sawyer Dr, Blakely, GA 39823-1559 | 2019-12-03 |
| Find all providers in zip 39823 | ||||
| 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 |
|---|---|---|---|---|
| 1104358811 | Lifebrite Hospital Group of Early LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2017-03-31 |
| 1144535212 | Pioneer Health Services of Early County, LLC | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-08-13 |
| 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.