BLECKLEY COUNTY HOSPITAL (NPI# 1578637526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578637526 |
| Entity Type | Organization |
| Organization Name | BLECKLEY COUNTY HOSPITAL |
| Other Organization Name | BLECKLEY MEMORIAL HOSPITAL |
| Practice Address |
145 E Peacock St Cochran GA 31014-7846 |
| Mailing Address |
Po Box 536 145 East Peacock Street Cochran GA 31014-0536 |
| Practice Telephone | 4789346211 |
| Mailing Telephone | 4789346211 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-08-23 |
| Authorized Official Name | MRS. NICOLE NOBLES PAULK (CEO) |
| Authorized Official Telephone | 4789346211 |
| Authorized Official Credential | RN, MSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
012-233 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00000195A | 05 | |
| GA | WELLCARE | 271242 | 01 |
| GA | PEACHSTATE | 115917 | 01 |
| Other Name | Type Code |
|---|---|
| Bleckley Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053461376 | Bleckley County Hospital | Medicare Defined Swing Bed Unit | 145 E Peacock St, Cochran, GA 31014-7846 | 2007-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BLECKLEY COUNTY HOSPITAL | 145 E Peacock St, Cochran, GA 31014-7846 |
| Street Address |
145 E PEACOCK ST |
| City | COCHRAN |
| State | GA |
| Zip Code | 31014-7846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053950212 | Kari Coody | Pharmacist | 145 E Peacock St, Cochran, GA 31014-7846 | 2020-01-04 |
| 1669909008 | Georgia Em-i Medical Service PC | Physician Assistant | 145 E Peacock St, Cochran, GA 31014-7846 | 2017-05-16 |
| 1972030799 | Middle Georgia Inpatient Services LLC | Physician Assistant | 145 E Peacock St, Cochran, GA 31014-7846 | 2017-05-11 |
| 1952835530 | Oconee River Emergency Physicians LLC | Emergency Medicine | 145 E Peacock St, Cochran, GA 31014-7846 | 2017-04-20 |
| 1235471491 | Tammy Wade Moon | Physical Therapist | 145 E Peacock St, Cochran, GA 31014-7846 | 2013-03-26 |
| 1679824981 | Taylor Regional Hospital | Orthopaedic Surgery | 145 E Peacock St, Suite 1, Cochran, GA 31014-7846 | 2012-09-26 |
| 1255680062 | Taylor Regional Hospital | Durable Medical Equipment & Medical Supplies | 145 E Peacock St, Suite 4, Cochran, GA 31014-7846 | 2012-09-07 |
| 1033464391 | Southland Emergency Medical Services Consolidated, LLC | Family Medicine | 145 E Peacock St, Cochran, GA 31014-7846 | 2012-07-23 |
| 1891969291 | Sandra H. Gibbs, M.d. | Family Medicine | 145 E Peacock St, Suite #3, Cochran, GA 31014-7846 | 2008-04-16 |
| 1245383611 | Sandra H. Gibbs | Family Medicine | 145 E Peacock St, Suite #3, Cochran, GA 31014-7846 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265830186 | Bryant Nursing Center | Skilled Nursing Facility | 601 Se 6th Street, Cochran, GA 31014 | 2014-12-09 |
| 1205241395 | Southland Cochran Emergency Medical Services, LLC | Emergency Medicine | 145 Peacock St., Cocharan, GA 31014 | 2014-06-26 |
| 1952551541 | Dr Dudley B Christie Jr | Optometrist | 145 Second St, Cochran, GA 31014 | 2008-09-19 |
| 1568670487 | David Herrington Stewart | Physical Therapist | 136 West Dykes Street, Cochran, GA 31014 | 2007-05-21 |
| 1649485137 | Jennifer C. Dennis | Occupational Therapy Assistant | Rt. 3 Box 2110 Country Club Rd., Cochran, GA 31014 | 2007-05-10 |
| 1013056571 | Chad Eric Smith | Speech-Language Pathologist | 1125 Ga Hwy 126, Cochran, GA 31014 | 2007-02-05 |
| 1851444103 | Covenant Chiropractic Center PC | Chiropractor | 169 W Dykes Street, Cochran, GA 31014 | 2007-01-19 |
| 1033273081 | Porter Pharmacy & Gifts, Inc. | Pharmacy | 129 N. 2nd Street, Cochran, GA 31014 | 2006-12-21 |
| 1710040951 | Nikki Dubois | Speech-Language Pathologist | 165 Race Track Dr., Cochran, GA 31014 | 2006-12-19 |
| 1033270194 | Debbie Martin | Nurse Practitioner | 152 N. 8th Street, Cochran, GA 31014 | 2006-12-13 |
| Find all providers in zip 31014 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780046425 | Rasheeda Brown | General Acute Care Hospital | 362 E.g. Miles Parkway, Hinesville, GA 31310-0919 | 2016-03-22 |
| 1073927117 | Polk Medical Center, Inc | General Acute Care Hospital | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 | 2014-06-17 |
| 1174800114 | Emory University Hospital | General Acute Care Hospital | 1355 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-11-04 |
| 1013211564 | Grady Health System | General Acute Care Hospital | 180 Victoria Dr, Fayetteville, GA 30214-1163 | 2010-12-26 |
| 1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
| 1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
| 1609078047 | Medical College of Georgia | General Acute Care Hospital | 1120 15th St # Baa-5407, Augusta, GA 30912-0004 | 2007-06-05 |
| 1982821971 | Carl Vison Va Medical Center | General Acute Care Hospital | 48 Blueberry Farm Road, Adrian, GA 31002 | 2007-04-19 |
| 1326191180 | Professional Resources Management of Rabun, LLC | General Acute Care Hospital | 162 Legacy Pt, Clayton, GA 30525-5354 | 2007-01-18 |
| 1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
| 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.