BROOKS COUNTY HOSPITAL (NPI# 1205057551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205057551 |
Entity Type | Organization |
Organization Name | BROOKS COUNTY HOSPITAL |
Other Organization Name | THE BOSTON CLINIC |
Practice Address |
118 North Main Street Boston GA 31626 |
Mailing Address |
920 Cairo Rd Thomasville GA 31792-4255 |
Practice Telephone | 2294988000 |
Practice Fax Number | 2294982001 |
Mailing Telephone | 2292275500 |
Mailing Fax Number | 2292275505 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2019-04-25 |
Authorized Official Name | GREG HEMBREE (SENIOR VP/CFO) |
Authorized Official Telephone | 2292282853 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 014028 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CLIA | 11D1066336 | 01 |
Other Name | Type Code |
---|---|
The Boston Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922039833 | Brooks County Hospital | Clinic/Center | 907 N Court St, Quitman, GA 31643-1315 | 2006-07-06 |
1306890942 | Brooks County Hospital | General Acute Care Hospital | 903 N Court St, Quitman, GA 31643-1315 | 2006-05-19 |
1184078537 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
1639523087 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
1538513981 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
1063841138 | Brooks County Hospital | Clinic/Center | 1309 W Screven St, Quitman, GA 31643-1819 | 2013-11-08 |
1578637047 | Brooks County Hospital | Medicare Defined Swing Bed Unit | 903 N Court St, Quitman, GA 31643-1315 | 2006-11-17 |
Street Address |
118 NORTH MAIN STREET |
City | BOSTON |
State | GA |
Zip Code | 31626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003223637 | Peace On Earth, LLC | Home Health | 212 Taylor Street, Boston, GA 31626 | 2014-07-15 |
1285945469 | Precious Ones Personal Care Home Inc. | Durable Medical Equipment & Medical Supplies | 20944 Us Hwy 84 East, Precious Ones Personal Care Home Inc., Boston, GA 31626 | 2010-06-23 |
1679811731 | Advanced Medical Group, LLC | Pharmacy | 118 N Main St, Boston, GA 31626-2257 | 2013-01-24 |
1851636070 | Boston Family Care Clinic, LLC | Clinic/Center | 118 N Main St, Boston, GA 31626-2257 | 2012-11-28 |
1407981434 | Rj Griffis Enterptises LLC | Pharmacy | 118 N Main St, Boston, GA 31626-2257 | 2007-02-22 |
1114585940 | Jessica Paige Oliver | Nurse Practitioner | 2557 State Line Rd, Boston, GA 31626-2441 | 2019-06-05 |
1508858556 | Bassha Yancey Walker | Speech-Language Pathologist | 22249 Us Highway 84 E, Boston, GA 31626-3745 | 2005-08-16 |
1437463940 | Thomasville Pediatric Speech, LLC | Speech-Language Pathologist | 22249 Us Highway 84 E, Boston, GA 31626-3745 | 2010-07-27 |
1548874985 | Dana Tindell | Occupational Therapist | 7792 Coffee Rd, Boston, GA 31626-3945 | 2020-09-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518568955 | Melanie Hanson | Social Worker | 47 West St Fl 4, Boston, MA 02111-1219 | 2020-11-03 |
1568063865 | Tenderrose Health Care LLC | Home Health | 1076 Washington St, Boston, MA 02124-5520 | 2020-11-03 |
1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
1518568880 | Regina To | Acupuncturist | 2 Sterling Sq Apt 908, Boston, MA 02127-3613 | 2020-11-03 |
1376144899 | Christine Keywan | Genetic Counselor, MS | 320 D St Unit 451, Boston, MA 02127-1284 | 2020-11-02 |
1700486693 | Mark Comstock | Specialist/Technologist | 74 Union Park St, Boston, MA 02118-2142 | 2020-10-29 |
1063012243 | Megan Alicia Harty | Developmental Therapist | 183 I St, Boston, MA 02127-4049 | 2020-10-28 |
1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
1407455264 | Jennifer Anne Espinal | Behavioral Analyst | 418 Centre St, Boston, MA 02130-5197 | 2020-10-22 |
Find all providers in BOSTON |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
1578099404 | Medexpress Primary Care Massachusetts, P.C. | Family Medicine | 578 Huntington Ave Fl 2, Boston, MA 02115-5902 | 2017-05-11 |
1144761438 | Shravya Budidi | Family Medicine | 72 E Concord St # 2600, Boston, MA 02118-2642 | 2017-03-20 |
1942650106 | Morgan Younkin | Family Medicine | 801 Massachusetts Ave Fl 2, Boston, MA 02118-2605 | 2016-06-20 |
1205220126 | Brian T Kroener | Family Medicine | 1 Dowling Medical Center Place, Dowling 5, Boston, MA 02119-2908 | 2015-03-28 |
1093129488 | Maya Yasmin Mauch | Family Medicine | South End Community Health Center, 1601 Washington St., Boston, MA 02118 | 2014-06-13 |
1528478500 | Maria Joan Bachman | Family Medicine | Boston Medical Center, 1 Bmc Place, Department of Family Medicine / Dowling 5, Boston, MA 02118 | 2014-04-30 |
1154680668 | Brian Robert Clear | Family Medicine | 68 Harrison Ave Fl 6, Boston, MA 02111-1929 | 2012-05-04 |
1861750333 | Jessica R Gray | Family Medicine | 720 Harrison Ave., Dob 503, Boston, MA 02118 | 2012-05-02 |
Find all providers in BOSTON |
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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.