EARLY MEMORIAL HOSPITAL (NPI# 1518983428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518983428 |
Entity Type | Organization |
Organization Name | EARLY MEMORIAL HOSPITAL |
Other Organization Name | EARLY MEMORIAL HOSPITAL - EMS |
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 | 2006-07-14 |
Last Update Date | 2008-05-08 |
Authorized Official Name | MR. CHARLES D. HIGHTOWER JR. (CFO) |
Authorized Official Telephone | 2292282853 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 341600000X | Ambulance | 136-03 | GA | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000000635B | 05 |
Other Name | Type Code |
---|---|
Early Memorial Hospital - EMS | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467527465 | Early Memorial Hospital | Medicare Defined Swing Bed Unit | 11740 Columbia St, Blakely, GA 39823-2574 | 2006-11-22 |
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 |
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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 | 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 |
---|---|---|---|---|
1992238430 | Lifebrite Hospital Group of Early LLC | Ambulance | 3 S Jefferson Ave, Blakely, GA 39823-2525 | 2017-04-11 |
1588974521 | Pioneer Health Services of Early County, LLC | Ambulance | 11740 Columbia St, Blakely, GA 39823-2574 | 2010-10-08 |
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 |
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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.