JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. (NPI# 1972635233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972635233 |
| Entity Type | Organization |
| Organization Name | JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. |
| Other Organization Name | ARCHBOLD - BAINBRIDGE SPECIALTY CLINIC II |
| Practice Address |
1323 E Shotwell St Bainbridge GA 39819-4252 |
| Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
| Practice Telephone | 2292430283 |
| Practice Fax Number | 2292430275 |
| Mailing Telephone | 2292288800 |
| Mailing Fax Number | 0092288892 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | MR. GREGORY S. HEMBREE (CFO) |
| Authorized Official Telephone | 2292282880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PERMIT | 136-91 | 01 |
| Other Name | Type Code |
|---|---|
| Archbold - Bainbridge Specialty Clinic II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932296811 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1103 North Main Street, Pavo, GA 31778 | 2006-10-10 |
| 1114014669 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1034 South Pine Street, Coolidge, GA 31738 | 2006-10-06 |
| 1851486005 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 440 Smith Ave, Thomasville, GA 31792-5535 | 2006-10-04 |
| 1356372304 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 101 E Davis St, Quitman, GA 31643-1407 | 2006-07-06 |
| 1962433912 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 1182 5th St Se, Cairo, GA 39828-3141 | 2006-07-06 |
| 1609807650 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 700 Gordon Ave, Bainbridge, GA 39819-5713 | 2006-07-06 |
| 1629000328 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 201 Old Albany Rd, Thomasville, GA 31792-4010 | 2006-07-06 |
| 1205867256 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 251 Us Highway 19 N, Camilla, GA 31730-1410 | 2006-07-06 |
| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1508806142 | John D. Archbold Memorial Hospital, Inc. | Skilled Nursing Facility | 10629 Us Highway 19 S, Thomasville, GA 31792-1127 | 2006-06-08 |
| Street Address |
1323 E SHOTWELL ST |
| City | BAINBRIDGE |
| State | GA |
| Zip Code | 39819-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841455599 | Dayna Malia Watson | Counselor | 410 West St., Bainbridge, GA 39819 | 2008-07-22 |
| 1740324342 | Jack Hobson Leverett Sr. | Dentist | 1515 Miluli Ave, Bainbridge, GA 39819 | 2007-02-16 |
| 1033212634 | Primary Care Inc | Family Medicine | 315 S Blvd Dr, Bainbridge, GA 39819 | 2006-09-07 |
| 1326060187 | Donald Ray Robinson | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2006-07-24 |
| 1255385126 | Linda Jones | Emergency Medicine | 1500 E. Shotwell St., Memorial Hospital & Manor, Bainbridge, GA 39819 | 2006-05-22 |
| 1962464578 | Lillian Ann Crews | Physical Therapy Assistant | 713 East Shotwell St, Bainbridge, GA 39819 | 2006-04-06 |
| 1134181738 | Rachel S Lauder | Physical Therapist | 713 E Shotwell Street, Bainbridge, GA 39819 | 2006-04-06 |
| 1275012015 | Lisa J Sellers | Nurse Practitioner | 509 Wheat Ave, Bainbridge, GA 39819 | 2018-08-13 |
| 1588186324 | Hospital Authority of The City of Bainbridge and Decatur County | Pharmacy | 1500 East Shotwell Street, Bainbridge, GA 39819 | 2017-07-13 |
| 1861531915 | Burke & Robinson Md PC | Obstetrics & Gynecology | 1501 E Miluli Avenue, Bainbridge, GA 39819 | 2007-02-05 |
| Find all providers in zip 39819 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003334236 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 650, Bainbridge, GA 39819-4380 | 2017-09-08 |
| 1629596853 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 603 Wheat Ave Ste 450, Bainbridge, GA 39819-4365 | 2017-09-08 |
| 1093233223 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1504 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1548788771 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1501 Miluli Ave, Bainbridge, GA 39819-5700 | 2017-09-08 |
| 1649798869 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 505 Amelia Ave, Bainbridge, GA 39819-4355 | 2017-09-08 |
| 1821516055 | Hospital Authority of The City of Bainbridge and Decatur County Georgi | Clinic/Center | 1502 E Evans St, Bainbridge, GA 39819-4364 | 2017-09-08 |
| 1972635225 | John D. Archbold Memorial Hospital, Inc. | Clinic/Center | 700 Gordon Ave, Bainbridge, GA 39819-5713 | 2007-03-12 |
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| Find all providers with the same taxonomy | ||||
| City | BAINBRIDGE |
| Zip Code | 39819 |
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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.