SCREVEN COUNTY HOSPITAL, LLC (NPI# 1225339898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225339898 |
Entity Type | Organization |
Organization Name | SCREVEN COUNTY HOSPITAL, LLC |
Other Organization Name | OPTIM MEDICAL CENTER - SCREVEN |
Practice Address |
215 Mims Rd Sylvania GA 30467-1994 |
Mailing Address |
460 Mall Blvd Suite B Savannah GA 31406-4801 |
Practice Telephone | 9125647426 |
Mailing Telephone | 9126441626 |
Mailing Fax Number | 9126445260 |
Enumeration Date | 2010-11-12 |
Last Update Date | 2019-11-15 |
Authorized Official Name | MR. ROBERT GUENTHNER (SECRETARY OF SCREVEN COUNTY HOSPITA) |
Authorized Official Telephone | 3126278247 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
124-164 | GA | Hospitals |
Other Name | Type Code |
---|---|
Optim Medical Center - Screven | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770822066 | Screven County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
1376897124 | Screven County Hospital, LLC | Occupational Therapist | 209a Mims Rd, Sylvania, GA 30467 | 2012-11-01 |
Street Address |
215 MIMS RD |
City | SYLVANIA |
State | GA |
Zip Code | 30467-1994 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245201094 | Screven County Hospital | General Acute Care Hospital | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-01-30 |
1174917157 | Southland Optim Screven Emergency Medical Services LLC | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2015-03-27 |
1689950594 | Screven County Family Health Center, LLC | Surgery | 215 Mims Rd, Suite 209-c, Sylvania, GA 30467-1994 | 2011-10-25 |
1083915524 | Screven County Hospital LLC | Medicare Defined Swing Bed Unit | 215 Mims Rd, Sylvania, GA 30467-1994 | 2010-11-16 |
1740448885 | Anesthesia Providers of Augusta, Inc | Registered Nurse | 215 Mims Rd, Sylvania, GA 30467-1994 | 2008-05-27 |
1760516348 | Orthopedic Center PC | Orthopaedic Surgery | 215 Mims Rd, Sylvania, GA 30467-1994 | 2007-03-15 |
1356411474 | Kristi Shook Hunter | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-11-08 |
1952330946 | William Kent | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-07-02 |
1689603672 | Marian Lane | Emergency Medicine | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-07-02 |
1184696429 | Shannon M Thomas | Nurse Anesthetist, Certified Registered | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-02-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659884237 | Rachel Oglesby Edenfield | Nurse Practitioner | 1235 Edenfield Road, Sylvania, GA 30467 | 2017-11-06 |
1841739984 | Under The Shadows Private Home Care | Exclusive Provider Organization | 208 Curtis Street, Sylvania, GA 30467 | 2017-02-22 |
1023357324 | Jenkins County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
1205195476 | Aacademy Adult Day &seniorliiving Facilityllc | Custodial Care Facility | 168 Davedeharahara Dr, Sylvania, GA 30467 | 2012-05-09 |
1407010689 | Screven County Family Medicine | Family Medicine | 215 Mims Road, Sylvania, GA 30467 | 2008-07-16 |
1518127687 | Sherma Peter | Family Medicine | 213 Mims Road, Sylvania, GA 30467 | 2008-06-12 |
1508925454 | Mppg, Inc. | Family Medicine | 105 Rocky Ford Road, Sylvania, GA 30467 | 2006-12-06 |
1891337572 | Allan Kipngeno | Pharmacist | 305 W Ogeechee St, Sylvania, GA 30467 | 2019-10-14 |
1770822066 | Screven County Hospital, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
1588903884 | Tattnall Hospital Company, LLC | Surgery | 102 Rocky Ford Rd, Sylvania, GA 30467 | 2013-02-06 |
Find all providers in zip 30467 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245201094 | Screven County Hospital | General Acute Care Hospital | 215 Mims Rd, Sylvania, GA 30467-1994 | 2006-01-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780046425 | Rasheeda Brown | General Acute Care Hospital | 362 E.g. Miles Parkway, Hinesville, GA 31310-0919 | 2016-03-22 |
1073927117 | Polk Medical Center, Inc | General Acute Care Hospital | 2360 Rockmart Hwy, Cedartown, GA 30125-6029 | 2014-06-17 |
1174800114 | Emory University Hospital | General Acute Care Hospital | 1355 Clifton Rd Ne, Atlanta, GA 30322-1013 | 2011-11-04 |
1013211564 | Grady Health System | General Acute Care Hospital | 180 Victoria Dr, Fayetteville, GA 30214-1163 | 2010-12-26 |
1417264292 | Angela Marie Barco | General Acute Care Hospital | 3486 Peach Orchard Rd Ste 200, Augusta, GA 30906 | 2010-09-01 |
1780880583 | Wheeler County Hospital | General Acute Care Hospital | 111 North 3rd Street, Glenwood, GA 30428 | 2007-06-27 |
1609078047 | Medical College of Georgia | General Acute Care Hospital | 1120 15th St # Baa-5407, Augusta, GA 30912-0004 | 2007-06-05 |
1982821971 | Carl Vison Va Medical Center | General Acute Care Hospital | 48 Blueberry Farm Road, Adrian, GA 31002 | 2007-04-19 |
1326191180 | Professional Resources Management of Rabun, LLC | General Acute Care Hospital | 162 Legacy Pt, Clayton, GA 30525-5354 | 2007-01-18 |
1184771586 | Lower Oconee Community Hospital Inc | General Acute Care Hospital | 111 N 3rd Street, P O Bx 398, Glenwood, GA 30428 | 2007-01-05 |
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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.