BACON CO. HEALTH SERVICES, INC. (NPI# 1053400689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053400689 |
| Entity Type | Organization |
| Organization Name | BACON CO. HEALTH SERVICES, INC. |
| Other Organization Name | PATTERSON COMMUNITY CARE CENTER |
| Practice Address |
3406 Wildwood Ave. Patterson GA 31557-5065 |
| Practice Telephone | 9126472952 |
| Mailing Telephone | 9126472952 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | MRS. CINDY R. TURNER (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 9126328961 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals |
| Other Name | Type Code |
|---|---|
| Patterson Community Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BACON COUNTY HEALTH SERVICES, INC. | 302 S Wayne St, Alma, GA 31510-2922 |
| Street Address |
3406 WILDWOOD AVE. |
| City | PATTERSON |
| State | GA |
| Zip Code | 31557-5065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891071296 | Phyllis Susan Raulerson | Early Intervention Provider Agency | 5955 Owens Road, Patterson, GA 31557 | 2011-10-30 |
| 1376966317 | Brandy Marie Scott | Pharmacist | 3436 Hopewell Rd, Patterson, GA 31557-2424 | 2014-01-28 |
| 1023135316 | Patterson Pharmacare, Inc. | Durable Medical Equipment & Medical Supplies | 6460 Hwy 84, Patterson, GA 31557-5016 | 2007-03-23 |
| 1679193130 | Boobil, LLC | Pharmacy | 6460 Hwy 84, Patterson, GA 31557-5016 | 2020-04-24 |
| 1770956765 | Marrian Daniels | Counselor | 3350 Tyre Bridge Rd, Patterson, GA 31557-5083 | 2015-11-12 |
| 1023173804 | Sara Mcarthur | Clinical Neuropsychologist | 5920 Reese St, Patterson, GA 31557-5131 | 2006-12-22 |
| 1649511544 | Stefany Raye Morgan | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2013-03-04 |
| 1316230899 | Cord of Three Counseling Services, Inc. | Community/Behavioral Health | 5920 Reese St, Patterson, GA 31557-5131 | 2011-05-17 |
| 1720257132 | Clay Dexter Gill | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1932713104 | Bibin Chacko | Speech-Language Pathologist | 535 Peregrine Dr, Patterson, CA 95363-8703 | 2020-09-03 |
| 1407460017 | Sneha Kommu | Speech-Language Pathologist | 775 N Hartley St, Patterson, CA 95363-2477 | 2020-09-01 |
| 1386257368 | Luis Castillo | Behavior Technician | 1513 Minnie St, Patterson, CA 95363-9456 | 2020-08-28 |
| 1457969511 | Dawn Louise Garcia | Nurse Practitioner | 547 Nicastro Dr, Patterson, CA 95363-9780 | 2020-07-15 |
| 1174146062 | Samantha Donahue | Licensed Practical Nurse | 94 Patterson Village Ct, Patterson, NY 12563-2420 | 2020-05-26 |
| 1518587302 | Cler Vicentina Aquillas | Nurse Practitioner | 1108 Ward Ave Ste 1, Patterson, CA 95363-8529 | 2020-04-21 |
| 1962032318 | Salutem C, LLC | Hospice Care, Community Based | 254 Sperry Ave Ste 6, Patterson, CA 95363-2762 | 2020-01-23 |
| 1609419688 | Brooke Ashley Umfleet | Occupational Therapist | Rr 1 Box 11470, Patterson, MO 63956-8712 | 2019-10-23 |
| 1255988176 | Gwynderlyn Patreac Jenkins | Specialist | 220 N El Circulo Ave, Patterson, CA 95363-2521 | 2019-08-26 |
| Find all providers in PATTERSON | ||||
| 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 |
| 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 |
| 1700883246 | Durall Capital Holdings, LLC | General Acute Care Hospital | 227 Mountain Drive, Dahlonega, GA 30533 | 2005-06-30 |
| Find all providers with the same taxonomy | ||||
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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.