PRUITTHEALTH - WASHINGTON, LLC (NPI# 1043263031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043263031 |
| Entity Type | Organization |
| Organization Name | PRUITTHEALTH - WASHINGTON, LLC |
| Other Organization Name | PRUITTHEALTH - WASHINGTON |
| Practice Address |
112 Hospital Drive Washington GA 30673-0578 |
| Mailing Address |
1626 Jeurgens Ct Norcross GA 30093-2219 |
| Practice Telephone | 7066787804 |
| Practice Fax Number | 7066783675 |
| Mailing Telephone | 7702796200 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-07-02 |
| Authorized Official Name | NEIL L PRUITT JR. (CHAIRMAN AND CEO OF MANAGER) |
| Authorized Official Telephone | 7702796200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 11571650 | GA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00143569A | 05 |
| Other Name | Type Code |
|---|---|
| PruittHealth - Washington | Doing Business As Name - Organization |
| Street Address |
112 HOSPITAL DRIVE |
| City | WASHINGTON |
| State | GA |
| Zip Code | 30673-0578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477893766 | Andrew D Smoot | Specialist/Technologist | 119 W Robert Toombs Ave, A, Washington, GA 30673 | 2013-02-22 |
| 1033418975 | Hulin Transportation, Inc. | Respite Care | 906 Sandtown Rd., Washington, GA 30673 | 2011-03-17 |
| 1730404047 | Brian James Ackermann | Chiropractor | 22 West Robert Toombs Ave, R, Washington, GA 30673 | 2010-03-30 |
| 1922129105 | David T. Kirk and Associates | Clinic/Center | 206 Hospital Dr., Washington, GA 30673 | 2007-04-03 |
| 1316089097 | Medstar Homecare | Durable Medical Equipment & Medical Supplies | 906 Sandtown Road, Washington, GA 30673 | 2007-02-12 |
| 1639249600 | Wilkes County Board of Education | Local Education Agency (LEA) | 313 A. North Alexander Ave, Wilkes, GA 30673 | 2006-11-08 |
| 1396788097 | Wilkes County Board of Commissioners | Ambulance | 105 Marshall Street, Washington, GA 30673 | 2006-06-13 |
| 1568507879 | Charles Joseph Fievet Sr. | Pharmacist | 115 E Robert Toombs Ave, Washington, GA 30673 | 2007-02-21 |
| 1629378831 | Jessica Jo Fields | Physician Assistant | 212 Hospital Drive, Washington, GA 30673-0568 | 2010-10-22 |
| 1881763712 | Fievet Pharmacy, LLC | Pharmacy | 115 E Robert Toombs Ave, Washington, GA 30673-1009 | 2006-11-07 |
| Find all providers in zip 30673 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841688298 | Daviess County Hospital | Skilled Nursing Facility | 1694 Troy Rd, Washington, IN 47501-8211 | 2015-01-07 |
| 1891124103 | Jamie Lilley | Skilled Nursing Facility | 1734 John Small Ave, Washington, NC 27889-7387 | 2013-11-06 |
| 1396010781 | Supplemental Health Care | Skilled Nursing Facility | 1759 W 5th St, Washington, NC 27889-4003 | 2012-03-19 |
| 1558657114 | Kyle Lee Decker | Skilled Nursing Facility | 504 E Telegraph St Unit 81, Washington, UT 84780-8851 | 2011-06-22 |
| 1063710812 | Eban Health Services Inc | Skilled Nursing Facility | 3502 18th St.. Ne, Suite 1, Washington, DC 20018 | 2011-03-03 |
| 1619136025 | Peoplefirst | Skilled Nursing Facility | 250 Lovers Lane, Washington, NC 27889 | 2008-06-02 |
| 1093983827 | Rock Creek Nursing Center Inc | Skilled Nursing Facility | 2131 O St Nw, Washington, DC 20037-1008 | 2008-02-14 |
| 1275713463 | The Medilodge Group, Inc. | Skilled Nursing Facility | 64500 Van Dyke Rd, Washington, MI 48095-2583 | 2007-11-06 |
| 1962559104 | Stoddard Baptist Home | Skilled Nursing Facility | 1818 Newton St Nw, Washington, DC 20010-1017 | 2007-01-03 |
| 1316005069 | Jb Johnson Nursing Center | Skilled Nursing Facility | 901 1st St Nw, Washington, DC 20001-1403 | 2006-12-05 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 30673 |
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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.