MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.


Address: 2007 Tebeau St, Waycross, GA 31501-6358
Phone: 9122859164

MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC. (NPI# 1629076526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629076526
Entity Type Organization
Organization Name MAYO CLINIC HEALTH SYSTEM IN WAYCROSS, INC.
Other Organization Name INSTITUTIONAL PHARMACY
Practice Address 2007 Tebeau St
Waycross
GA 31501-6358
Practice Telephone 9122859164
Mailing Telephone 9122859164
Enumeration Date 2005-07-13
Last Update Date 2012-09-05
Authorized Official Name MR. CHRIS CARBAUGH (OPERATIONS MANAGER)
Authorized Official Telephone 9122859164
Authorized Official Credential BSPH, R.PH.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 333600000X Pharmacy Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA 00001229C 05

Other Provider/Organization Names

Other Name Type Code
Institutional Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1366478042 Mayo Clinic Health System In Waycross, Inc. Skilled Nursing Facility 221 Carter Ave., Blackshear, GA 31516 2006-06-24
1114963071 Mayo Clinic Health System In Waycross, Inc. Skilled Nursing Facility 1600 Riverside Ave, Waycross, GA 31501-7028 2006-06-21
1154745982 Mayo Clinic Health System In Waycross, Inc. Clinic/Center 1900 Tebeau St, Waycross, GA 31501-6357 2014-02-14
1548322084 Mayo Clinic Health System In Waycross, Inc. Rehabilitation Unit 1900 Tebeau St, Waycross, GA 31501-6357 2006-12-14
1285796839 Mayo Clinic Health System In Waycross, Inc. Psychiatric Unit 1900 Tebeau Street, Waycross, GA 31501 2006-12-13

Office Location

Street Address 2007 TEBEAU ST
City WAYCROSS
State GA
Zip Code 31501-6358

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033117304 Satilla Life Care` Pharmacy 2007 Tebeau St, Waycross, GA 31501-6358 2005-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962906115 Davenport Health Pa Family Medicine 1401 Cherokee Drive, Waycross, GA 31501 2018-03-22
1962940478 Blake Darren Aldridge Physical Therapy Assistant 401 Preston Street, Waycross, GA 31501 2017-02-03
1669922142 Jebediah S. Christy Dds - Waycross Pllc Dentist 2271 Memorial Dr, Waycross, GA 31501 2016-10-10
1558721944 Jana Kirby Massage Therapist 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 2016-02-29
1962877001 Courtney Baldwin Specialist/Technologist, Other 2403 Spurgeon St, Waycross, GA 31501 2015-12-01
1912389784 Grayson Stuart Griffis Dentist 2103 Tebeau St., Waycross, GA 31501 2015-06-29
1730561267 Trishla Amit Desai Internal Medicine Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 2015-06-20
1316330913 Hanger Prosthetics & Orthotics, Inc. Prosthetic/Orthotic Supplier 512 City Blvd Ste H, Waycross, GA 31501 2015-03-06
1942699079 Jose Ramon Martinez Anesthesiology 701 City Blvd, Waycross, GA 31501 2015-01-13
1023356714 Orthopedics Surgeons of Georgia, LLC Orthopaedic Surgery 2015 Alice Street, Waycross, GA 31501 2013-01-30
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Taxonomy Information

Taxonomy Code 333600000X
Grouping Suppliers
Classification Pharmacy

Taxonomy Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033117304 Satilla Life Care` Pharmacy 2007 Tebeau St, Waycross, GA 31501-6358 2005-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922607662 H & W Pharmacy Pharmacy 4091 Redan Rd Ste C, Stone Mountain, GA 30083-4767 2020-10-23
1720603756 Medical-pharmacy Associates of Georgia, LLC Pharmacy 1425 Georgia Ave Ste 1, Macon, GA 31201-6546 2020-06-16
1700419454 Janus Rx Pharmacy 836 E 65th St Ste 42, Savannah, GA 31405-4496 2020-02-20
1295373702 Downtown Pharmacy LLC Pharmacy 236 Forsyth St Sw Ste 202b, Atlanta, GA 30303-3786 2019-12-16
1750928719 Goodscript, Inc. Pharmacy 3115 Roswell Rd Ste 205, Marietta, GA 30062-7611 2019-12-09
1942844741 Genoa Healthcare, LLC Pharmacy 400 Technology Ct Se Ste J, Room P, Smyrna, GA 30082-5237 2019-11-05
1225670995 Allcare Pharmacy, LLC Pharmacy 1004 S Tennille Ave, Donalsonville, GA 39845 2019-10-14
1417598327 Connect Care Pharmacy, LLC Pharmacy 2191 Hwy 247 Connector, Byron, GA 31008-5531 2019-10-02
1467003467 Selamawit Dejene Pharmacy 464 Bishop St Nw Apt 336, Atlanta, GA 30318-5384 2019-09-23
1902454721 Batts Drug Company Mansfield, LLC Pharmacy 4424 Highway 213, Mansfield, GA 30055-3211 2019-08-27
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Competitor

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City WAYCROSS
Zip Code 31501

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Dataset Information

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.

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