THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY (NPI# 1508985714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508985714 |
| Entity Type | Organization |
| Organization Name | THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY |
| Practice Address |
111 Habersham Terrace Gdns Demorest GA 30535-4558 |
| Mailing Address |
Po Box 37 Demorest GA 30535-0037 |
| Practice Telephone | 7067543113 |
| Practice Fax Number | 7067547300 |
| Mailing Telephone | 7067543113 |
| Mailing Fax Number | 7067547300 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-01-23 |
| Authorized Official Name | MS. BARBARA H DUNCAN (CFO) |
| Authorized Official Telephone | 7068394000 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 068-04 | GA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00000877B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1285847343 | The Hospital Authority of Habersham County | Family Medicine | 801 Austin Drive, Demorest, GA 30535 | 2007-05-07 |
| 1285767053 | The Hospital Authority of Habersham County | Family Medicine | 17 White Street, Cleveland, GA 30528 | 2007-03-13 |
| 1649302811 | The Hospital Authority of Habersham County | Skilled Nursing Facility | 541 Highway 441 N, Demorest, GA 30535 | 2007-03-12 |
| 1578624185 | The Hospital Authority of Habersham County | Home Health | 1040 Highway 441 N, Demorest, GA 30535-4123 | 2006-12-13 |
| 1740778828 | The Hospital Authority of Habersham County | Clinic/Center | 638 Historic Hwy 441 N, Suite B-1, Demorest, GA 30535 | 2018-04-25 |
| 1639604986 | The Hospital Authority of Habersham County | Family Medicine | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2017-04-25 |
| 1679005144 | The Hospital Authority of Habersham County | Family Medicine | 801 Austin Dr, Demorest, GA 30535-4513 | 2017-04-03 |
| 1801333455 | The Hospital Authority of Habersham County | Nurse Anesthetist, Certified Registered | 541 441 Historic Hwy N, Demorest, GA 30535-4528 | 2017-01-20 |
| 1548644586 | The Hospital Authority of Habersham County | Pharmacy | 541 Historic Hwy 441 N, Demorest, GA 30535 | 2015-07-18 |
| Street Address |
111 HABERSHAM TERRACE GDNS |
| City | DEMOREST |
| State | GA |
| Zip Code | 30535-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353355 | Kristen Diana Maxwell X | Nurse Practitioner | 396 Historic Highway 441 North, Demorest, GA 30535 | 2020-07-16 |
| 1659925972 | Jared Davis | Physical Therapist | 541 Historic Hiwy 441, Demorest, GA 30535 | 2019-07-25 |
| 1669939070 | Habersham Medical Center Foundation, Inc. | Pharmacy | 541 Old Historic Hwy 441 N Ste 1, Demorest, GA 30535 | 2019-02-22 |
| 1114417128 | The Hospital Authority of Habersham County | Family Medicine | 638 Hwy 441 N Suite B-2, Demorest, GA 30535 | 2018-05-15 |
| 1578077434 | Linh My Dao | Registered Nurse | 541 Historic Hwy. 441-n, Demorest, GA 30535 | 2017-11-29 |
| 1447797063 | Cmvo, LLC | Pharmacy | 4654 Highway 115, Unit 1, Demorest, GA 30535 | 2017-01-20 |
| 1851741128 | Katherine Glenn | Physical Therapy Assistant | 541 Us-441 Bus, Demorest, GA 30535 | 2016-06-17 |
| 1558735886 | Waterfall Emergency Physicians, LLC | Physician Assistant | 541 Historic Hwy 441n, Demorest, GA 30535 | 2015-11-24 |
| 1407278237 | Deborah Gale | Pharmacist | 116 Savannah Ter, Demorest, GA 30535 | 2014-01-14 |
| 1538580576 | Garrett Family Medicine, LLC | Family Medicine | 590 Historic Hwy 441 Lower Level, Demorest, GA 30535 | 2013-12-18 |
| Find all providers in zip 30535 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: 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. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245854280 | Conquest Medical Transport, LLC | Ambulance | 182 Riley Ave Ste F1, Macon, GA 31204-0777 | 2020-06-05 |
| 1184268393 | Atlanta Ems Lllp | Ambulance | 2555 Marietta Hwy Ste 205b, Canton, GA 30114-7054 | 2019-10-30 |
| 1295376838 | Luke Medical Transport LLC | Ambulance | 260 International Pkwy Ste 132, Dallas, GA 30157-5706 | 2019-10-04 |
| 1619521366 | Sure Care Ems | Ambulance | 2136 W Park Ct Bldg 2, Stone Mountain, GA 30087-3528 | 2019-07-31 |
| 1184278848 | Person To Person Transportation Service L.l.c | Ambulance | 6724 Church St Ste 3, Riverdale, GA 30274-4711 | 2019-07-30 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1699337717 | Priscilla Mark-wilson | Ambulance | 3350 Noor Way, Douglasville, GA 30135-8172 | 2019-06-29 |
| 1285194829 | Regional Ambulance Service, LLC | Ambulance | 2054 Rex Rd Ste 5c, Morrow, GA 30260-3970 | 2019-03-20 |
| 1790243814 | Randy Scott Crocker | Ambulance | 5615 Handley Blvd, Morrow, GA 30260-3919 | 2019-03-07 |
| 1114491438 | 1st Responders 2 Ems | Ambulance | 155 Westridge Pkwy Ste 113, Mcdonough, GA 30253-3050 | 2019-01-21 |
| 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.