CHARLTON MEMORIAL HOSPITAL (NPI# 1710099098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710099098 |
| Entity Type | Organization |
| Organization Name | CHARLTON MEMORIAL HOSPITAL |
| Practice Address |
2449 Third St Folkston GA 31537-8919 |
| Mailing Address |
Po Box 188 2449 Third St Folkston GA 31537-0188 |
| Practice Telephone | 9124962531 |
| Practice Fax Number | 9124967766 |
| Mailing Telephone | 9124962531 |
| Mailing Fax Number | 9124967766 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | KIMBERLY SAVAGE (CFO) |
| Authorized Official Telephone | 9124962531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | 024-106 | GA | Hospital Units |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
024106 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 010341100 | 05 | |
| GA | 000000338A0 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760548002 | Charlton Memorial Hospital | Clinic/Center | 2383 Third St, Folkston, GA 31537-8917 | 2006-12-29 |
| Street Address |
2449 THIRD ST |
| City | FOLKSTON |
| State | GA |
| Zip Code | 31537-8919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922351741 | Joel Pasley Drew | Dentist | 2449 Third St, Folkston, GA 31537-8919 | 2012-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124390216 | Charlton Cs | Day Training, Developmentally Disabled Services | 3010 Homeland Park Rd, Folkston, GA 31537 | 2012-02-03 |
| 1962549253 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | Rr 1 Box 3010, Folkston, GA 31537 | 2007-01-30 |
| 1922018159 | Albert Marion Thompson Jr. | Family Medicine | 1203 N 3rd St, Folkston, GA 31537-0188 | 2006-08-09 |
| 1063413706 | Ghislain Richard Perron | Family Medicine | 1001 N 3rd St, Folkston, GA 31537-1301 | 2005-08-03 |
| 1760419063 | Heather G Peebles | Dietitian, Registered | 1209 N 3rd St, Folkston, GA 31537-1303 | 2006-06-26 |
| 1619979812 | Hal London | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-06-01 |
| 1295174381 | Will Cameron Duncan | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2013-06-21 |
| 1841540622 | Stephanie Lisa Mcnulty | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2012-09-19 |
| 1700027364 | Robert Duaine Lott | Emergency Medicine | 1203 N 3rd St, Folkston, GA 31537-1303 | 2009-03-11 |
| 1932108594 | Jaimee Denyse Garcia | Physical Therapist | 1203 N 3rd St, Folkston, GA 31537-1303 | 2005-07-18 |
| Find all providers in zip 31537 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on CHARLTON MEMORIAL HOSPITAL.
| 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.