DODGE COUNTY HOSPITAL AUTHORITY (NPI# 1740272095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740272095 |
| Entity Type | Organization |
| Organization Name | DODGE COUNTY HOSPITAL AUTHORITY |
| Other Organization Name | DODGE COUNTY HOSPITAL |
| Practice Address |
901 Griffin Ave Eastman GA 31023-6720 |
| Mailing Address |
Po Box 4309 Eastman GA 31023-4309 |
| Practice Telephone | 4784484091 |
| Practice Fax Number | 4784484088 |
| Mailing Telephone | 4784484091 |
| Mailing Fax Number | 4784484088 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2014-11-20 |
| Authorized Official Name | MR. KEVIN L BIERSCHENK (CEO) |
| Authorized Official Telephone | 4784484066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units | ||
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000000591B | 05 | |
| BC | 000875 | 01 | |
| GA | 000000591A | 05 | |
| BC | 00139 | 01 |
| Other Name | Type Code |
|---|---|
| Dodge County Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948717 | Dodge County Hospital Authority | Family Medicine | 1112 Plaza Ave Ste B, Eastman, GA 31023-9012 | 2020-09-29 |
| 1356982938 | Dodge County Hospital Authority | Pharmacy | 901 Griffin Ave, Eastman, GA 31023-6720 | 2019-10-04 |
| 1881010239 | Dodge County Hospital Authority | Psychiatric Unit | 901 Griffin Ave, Eastman, GA 31023-6720 | 2014-03-10 |
| 1851682538 | Dodge County Hospital Authority | Clinic/Center | 1112 Plaza Ave, Suite B, Eastman, GA 31023-9009 | 2011-04-28 |
| 1831490895 | Dodge County Hospital Authority | Clinic/Center | 911 Plaza Ave, Eastman, GA 31023-6785 | 2010-11-08 |
| 1861793952 | Dodge County Hospital Authority | Clinic/Center | 725 Legion Dr, Eastman, GA 31023-6780 | 2010-11-05 |
| 1417173956 | Dodge County Hospital Authority | Specialist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2007-04-17 |
| Street Address |
901 GRIFFIN AVE |
| City | EASTMAN |
| State | GA |
| Zip Code | 31023-6720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356982938 | Dodge County Hospital Authority | Pharmacy | 901 Griffin Ave, Eastman, GA 31023-6720 | 2019-10-04 |
| 1346894334 | Southland Dodge Hospitalist Services LLC | Hospitalist | 901 Griffin Ave, Eastman, GA 31023-6784 | 2019-07-29 |
| 1851958607 | Southland Dodge Emergency Medical Services, LLC | Emergency Medicine | 901 Griffin Ave, Eastman, GA 31023-6720 | 2019-05-28 |
| 1881010239 | Dodge County Hospital Authority | Psychiatric Unit | 901 Griffin Ave, Eastman, GA 31023-6720 | 2014-03-10 |
| 1265853469 | Southeastern Hospitalist Physicians, LLP | Hospitalist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2013-12-16 |
| 1689095812 | Southern Emergency Physicians, LLP | Hospitalist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2013-12-13 |
| 1902193295 | Sweet Georgia Emergency Physicians | Emergency Medicine | 901 Griffin Ave, Eastman, GA 31023-6720 | 2011-07-07 |
| 1083901300 | Historic South Inpatient Services | Hospitalist | 901 Griffin Ave, Eastman, GA 31023-6720 | 2011-07-07 |
| 1144525940 | Keri Ann Paulk | Nurse Anesthetist, Certified Registered | 901 Griffin Ave, Eastman, GA 31023-6720 | 2011-01-26 |
| 1952621476 | Martha Paul Clelland | Specialist/Technologist, Other | 901 Griffin Ave, Eastman, GA 31023-6720 | 2010-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821555913 | Community Service Board of Middle Georgia | Day Training, Developmentally Disabled Services | 1444 Morgan Creek Dr, Eastman, GA 31023 | 2019-02-25 |
| 1174832232 | Lynetta Davies | Counselor | 17 Tanner Dr, Eastmon, GA 31023 | 2010-10-06 |
| 1467774380 | Dustin Phillip Smith | Chiropractor | 285 Plaza Avenue, Eastman, GA 31023 | 2010-02-19 |
| 1639311145 | D&b Home Care Inc | Durable Medical Equipment & Medical Supplies | 714 Medical Center Drive, Eastman, GA 31023 | 2009-03-30 |
| 1427273465 | Hospice Care Options Inc | Hospice Care, Community Based | 715 Legion Dr, Eastman, GA 31023 | 2007-04-16 |
| 1740318625 | Dana W Mullis | Dentist | 1003 Plaza Ave, Eastman, GA 31023 | 2007-03-01 |
| 1285787630 | 801 Legion LLC | Skilled Nursing Facility | 815 Legion Dr, Eastman, GA 31023 | 2007-01-19 |
| 1396813317 | Womens Health PC | Obstetrics & Gynecology | 821 Plaza Ave, Suite B, Eastman, GA 31023 | 2006-11-30 |
| 1932294170 | John D Roberts | Ophthalmology | 917 Plaza Avenue, Eastman, GA 31023 | 2006-10-04 |
| 1215030978 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 535 Oak St, Eastman, GA 31023 | 2006-09-07 |
| Find all providers in zip 31023 | ||||
| Taxonomy Code | 282NR1301X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Rural |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972969160 | Debra D Rathbun | General Acute Care Hospital | 192 Lobinger Ave, Fitzgerald, GA 31750-8181 | 2016-01-05 |
| 1326304486 | Ty Cobb Regional Medical Center LLC | General Acute Care Hospital | 367 Clear Creek Parkway, Lavonia, GA 30553 | 2012-04-03 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1518051556 | Eugene Suarez Rodillo | General Acute Care Hospital | 111 South Webb Street, Hartwell, GA 30643 | 2006-10-03 |
| 1245248624 | Hospital Authority of Ben Hill | General Acute Care Hospital | 200 Perry House Rd, Fitzgerald, GA 31750-8857 | 2006-08-03 |
| 1700851649 | Crisp Regional Hospital Inc | General Acute Care Hospital | 902 7th St North, Cordele, GA 31010 | 2006-02-22 |
| 1558334334 | Mayo Clinic Health System In Waycross, Inc | General Acute Care Hospital | 1900 Tebeau Street, Waycross, GA 31501 | 2006-02-10 |
| 1588646251 | Wheeler County Hospital | General Acute Care Hospital | 111 N Third St, Glenwood, GA 30428-2301 | 2005-11-17 |
| 1952395097 | Southern Health Corp of Ellijay | General Acute Care Hospital | 1362 S Main St, 822 Industrial Blvd; 60 Old Highway 5 South, Ellijay, GA 30540-5410 | 2005-09-05 |
| 1588661672 | Americus & Sumter County Hospital Authority | General Acute Care Hospital | 100 Wheatley Dr, Americus, GA 31709-3788 | 2005-07-05 |
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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.