CALVARY HEALTHCARE, INC (NPI# 1265092654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265092654 |
| Entity Type | Organization |
| Organization Name | CALVARY HEALTHCARE, INC |
| Practice Address |
256 Van Dell Dr Rock Spring GA 30739-2640 |
| Practice Telephone | 4782309067 |
| Mailing Telephone | 4782309067 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MR. MATTHEW MCUMBER (OWNER) |
| Authorized Official Telephone | 4782309067 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
256 VAN DELL DR |
| City | ROCK SPRING |
| State | GA |
| Zip Code | 30739-2640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1992058960 | Highland Rivers Community Service Board | Community/Behavioral Health | 2510 Kay Conley Rd, Rock Spring, GA 30739-2073 | 2012-10-16 |
| 1124360185 | Stacey Michelle Foley | Occupational Therapy Assistant | 100 Autumn Crest Trl, Rock Spring, GA 30739-2095 | 2013-03-17 |
| 1285732115 | North Georgia Vision Center Inc | Technician/Technologist | 8390 N Highway 27, Rock Spring, GA 30739-2103 | 2006-09-21 |
| 1952300832 | Stephen Brent Clark | Optometrist | 8390 North Hwy 27, Rock Spring, GA 30739-2103 | 2005-07-21 |
| 1952569279 | North Georgia Vision Center Inc | Optometrist | 8390 N Highway 27, Rock Spring, GA 30739-2103 | 2008-05-23 |
| 1568455541 | Michael E Wilson | Internal Medicine | 8566c N Highway 27, Rock Spring, GA 30739-2105 | 2005-08-25 |
| 1811167455 | Primary Medical Consultants, LLC | Internal Medicine | 8566c N Highway 27, Rock Spring, GA 30739-2105 | 2008-03-11 |
| 1801978929 | Jimmy Simpson Foundation, Inc. | Clinic/Center | 9558 N Highway 27, Rock Spring, GA 30739-2113 | 2006-10-19 |
| 1922124775 | Jimmy Simpson Foundation, Inc. | Custodial Care Facility | 9558 N Highway 27, Rock Spring, GA 30739-2113 | 2007-03-22 |
| Find all providers in zip 30739 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| Find all providers with the same taxonomy | ||||
| City | ROCK SPRING |
| Zip Code | 30739 |
Please comment or provide details below to improve the information on CALVARY HEALTHCARE, INC.
| 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.