HOSPITAL AUTHORITY OF RANDOLPH COUNTY (NPI# 1285624452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285624452 |
Entity Type | Organization |
Organization Name | HOSPITAL AUTHORITY OF RANDOLPH COUNTY |
Other Organization Name | CUTHBERT SURGICAL CLINIC |
Practice Address |
125 Mcdonald Ave Cuthbert GA 39840-5829 |
Mailing Address |
361 Randolph St Cuthbert GA 39840-6127 |
Practice Telephone | 2292091322 |
Practice Fax Number | 2292091324 |
Mailing Telephone | 2297322181 |
Mailing Fax Number | 2292091324 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2012-11-06 |
Authorized Official Name | STACEY L FLYNT (BUSINESS OFFICE MANAGER) |
Authorized Official Telephone | 2297774514 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
048502 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000320427D | 05 |
Other Name | Type Code |
---|---|
CUTHBERT SURGICAL CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629041421 | Hospital Authority of Randolph County | Clinic/Center | 206 West Railroad Street, Shellman, GA 39886-5003 | 2006-02-10 |
1063491017 | Hospital Authority of Randolph County | Medicare Defined Swing Bed Unit | 109 Randolph St, Cuthbert, GA 39840-1338 | 2006-01-10 |
1275514259 | Hospital Authority of Randolph County | Skilled Nursing Facility | 321 Randolph St, Cuthbert, GA 39840-6127 | 2005-11-08 |
1699769166 | Hospital Authority of Randolph County | Surgery | 361 Randolph St, Cuthbert, GA 39840-6127 | 2005-09-09 |
1396749149 | Hospital Authority of Randolph County | Clinic/Center | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2005-06-09 |
Street Address |
125 MCDONALD AVE |
City | CUTHBERT |
State | GA |
Zip Code | 39840-5829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245233832 | Emmanuel Ndaya Ozimba | Family Medicine | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2005-05-27 |
1417501750 | Stephanie Stille Heleski | Nurse Practitioner | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2019-07-25 |
1275060212 | Careconnect Health, Inc. | Clinic/Center | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2017-05-22 |
1497036842 | John Achibuem Chitoh | Nurse Practitioner | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2011-08-30 |
1427205459 | John G Bates | Family Medicine | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2008-08-21 |
1396749149 | Hospital Authority of Randolph County | Clinic/Center | 125 Mcdonald Ave, Cuthbert, GA 39840-5829 | 2005-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366867533 | Rashema Vandetta Warren | Case Manager/Care Coordinator | 90 Villa Nova Street, New Horizons, Cuthbert, GA 39840 | 2014-02-25 |
1417378415 | Temperess Johnson | Adult Companion | 72 Cleborne Street, Cuthbert, GA 39840 | 2013-12-18 |
1730500976 | Mary Gibbs | Case Manager/Care Coordinator | 72 Clebourne Street, Cuthbert, GA 39840 | 2013-12-13 |
1023448917 | Katie Wright | Counselor | 72 Clebourne St, Cuthbert, GA 39840 | 2013-11-14 |
1588952048 | Michael Carr Jr. | Dentist | 84 Court Street, Cuthbert, GA 39840 | 2011-07-19 |
1518286764 | Lisa Ann Hardwick | Occupational Therapy Assistant | 2058 Hghway 82, Cuthbuert, GA 39840 | 2010-05-27 |
1952630154 | Naomi S Jenkins | Counselor | 264 Lumpkin Street, Cuthbert, GA 39840 | 2009-12-17 |
1467647875 | Mental Retardation Waiver Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Claborn St., Cuthbert, GA 39840 | 2007-09-10 |
1376614073 | Randolph County Coutny School System | Local Education Agency (LEA) | 3451 Ga Hwy 266, Cuthbert, GA 39840 | 2006-11-13 |
1437632890 | Gary Nell Glover | Community Health Worker | 72 Clebourne Street, Cuthbert, GA 39840 | 2018-09-12 |
Find all providers in zip 39840 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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1518579903 | Amin Surgery Center for Women LLC | Clinic/Center | 1150b Kirkland Ln, Douglas, GA 31533-2044 | 2020-08-18 |
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
1750905618 | Rsps Fayetteville Asc Lllp | Clinic/Center | 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 | 2020-06-05 |
1699395541 | Medici Surgical Center Gwinnett, LLC | Clinic/Center | 2220 Wisteria Dr Ste 100, Snellville, GA 30078-4604 | 2020-04-21 |
1114552338 | Georgia Interventional Pain - G, LLC | Clinic/Center | 1504 N Thornton Ave Ste 104, Dalton, GA 30720-8394 | 2020-03-09 |
1700424322 | Georgia Interventional Pain - F, LLC | Clinic/Center | 1357 Hembree Rd Ste 230, Roswell, GA 30076-5725 | 2019-12-13 |
1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
1912563941 | Commerce Ambulatory Surgery Center, Inc. | Clinic/Center | 417 Pottery Factory Dr, Commerce, GA 30529-6682 | 2019-05-15 |
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.