EFFINGHAM HOSPITAL, INC. (NPI# 1750686382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750686382 |
| Entity Type | Organization |
| Organization Name | EFFINGHAM HOSPITAL, INC. |
| Other Organization Name | EFFINGHAM FAMILY MEDICINE AT TWENTY-ONE |
| Practice Address |
1451 Highway 21 S Ste H Springfield GA 31329-5244 |
| Mailing Address |
459 Highway 119 South Attn.: Alia Allen/medical Staff Office Springfield GA 31329 |
| Practice Telephone | 9127541035 |
| Mailing Telephone | 9127540175 |
| Mailing Fax Number | 9127546395 |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MRS. FRANCINE BAKER-WITT (CEO) |
| Authorized Official Telephone | 9127540142 |
| Authorized Official Credential | RN, MBA, CNHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Effingham Family Medicine at Twenty-One | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063849719 | Effingham Hospital, Inc. | Orthopaedic Surgery | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2013-09-26 |
| 1245867688 | Effingham Hospital, Inc. | Pharmacy | 459 Highway 119 S, Springfield, GA 31329-3021 | 2020-03-25 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1962806257 | Effingham Hospital, Inc. | Internal Medicine | 800 Towne Park Dr Ste 100, Rincon, GA 31326-5160 | 2014-10-15 |
| 1245668417 | Effingham Hospital, Inc. | Preventive Medicine | 7306 Ga Highway 21 Ste 105, Port Wentworth, GA 31407-9275 | 2013-10-24 |
| 1083042352 | Effingham Hospital, Inc. | Urology | 110 Goshen Rd, Rincon, GA 31326-5545 | 2013-10-24 |
| 1477893857 | Effingham Hospital, Inc. | Pharmacy | 459 Ga Highway 119 S, Springfield, GA 31329-3021 | 2013-02-22 |
| 1245577048 | Effingham Hospital, Inc. | Obstetrics & Gynecology | 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 | 2013-01-14 |
| 1851696710 | Effingham Hospital, Inc. | Preventive Medicine | 110 Goshen Rd, Rincon, GA 31326-5545 | 2011-01-24 |
| 1578876033 | Effingham Hospital, Inc. | Surgery | 459 Highway 119 S, Ste A, Springfield, GA 31329-3021 | 2010-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EFFINGHAM HOSPITAL, INC. | 459 Ga Highway 119 S, Springfield, GA 31329-3021 |
| Street Address |
1451 HIGHWAY 21 S STE H |
| City | SPRINGFIELD |
| State | GA |
| Zip Code | 31329-5244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669709804 | J H Harvey Co LLC | Durable Medical Equipment & Medical Supplies | 1451 Highway 21 S, Springfield, GA 31329-5215 | 2009-11-09 |
| 1427472257 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 1451 Highway 21 S, Springfield, GA 31329-5243 | 2014-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447653167 | Mary Elizabeth Weaver | Licensed Practical Nurse | 802 Hwy 119 S, Springfield, GA 31329 | 2014-10-08 |
| 1023411733 | Bethany Thornton | Registered Nurse | 802 Us Highway 119 South, Springfield, GA 31329 | 2014-10-08 |
| 1821375593 | Heritage Counseling, Inc | Counselor | 1009 N Columbia Ave, Rincon, GA 31329 | 2011-11-09 |
| 1700170107 | Shonda Miller | Counselor | 275 First Street Ext, Springfield, GA 31329 | 2011-06-02 |
| 1902134638 | Optim Orthopedics, LLC | Orthopaedic Surgery | 459 Highway 119 South, Springfield, GA 31329 | 2009-11-18 |
| 1073642211 | Gateway Behavioral Health Services | Community/Behavioral Health | 275 First Street, Springfield, GA 31329 | 2007-03-05 |
| 1003945627 | Gateway Behavioral Health Services | Counselor | 275 First Street Extention, Springfield, GA 31329 | 2007-03-02 |
| 1821188228 | Quick Rx Drugs Inc | Pharmacy | 504 North Laurel Street, Springfield, GA 31329 | 2006-10-14 |
| 1386687275 | Janice E Ford | Nurse Practitioner | 1451 Highway 21 South, Suite H, Springfield, GA 31329 | 2006-06-14 |
| 1962960484 | Wendi Martin | Nurse Practitioner | 1571 Highway 21 S, Springfield, GA 31329 | 2019-03-04 |
| Find all providers in zip 31329 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1326496100 | Sgoh Acquisition, Inc. | Clinic/Center | 2828 N National Ave, Springfield, MO 65803-4306 | 2016-06-02 |
| 1508141961 | Spring View Hospital LLC | Clinic/Center | 79 Bobolink Dr, Springfield, KY 40069-1516 | 2011-10-18 |
| 1669565677 | Southeast Colorado Hospital District | Clinic/Center | 900 Church St, Springfield, CO 81073-1636 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 31329 |
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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.