LOWER OCONEE COMMUNITY HOSPITAL, INC (NPI# 1891810909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891810909 |
Entity Type | Organization |
Organization Name | LOWER OCONEE COMMUNITY HOSPITAL, INC |
Other Organization Name | HIGGSTON FAMILY CLINIC |
Practice Address |
3101 Us Highway 280 Ailey GA 30410-3659 |
Practice Telephone | 9125387500 |
Mailing Telephone | 9125387500 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2013-07-11 |
Authorized Official Name | LYNAN FOWLER (BUSINESS OFFICE) |
Authorized Official Telephone | 9125235113 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
208152021 | GA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 324829478D | 05 |
Other Name | Type Code |
---|---|
HIGGSTON FAMILY CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
1164547287 | Lower Oconee Community Hospital, Inc | Clinic/Center | 441 W Broad Street, Mount Vernon, GA 30445-2629 | 2007-03-20 |
1043335193 | Lower Oconee Community Hospital, Inc | Clinic/Center | 322 East Second Avenue, Glenwood, GA 30428-0866 | 2007-03-20 |
1336402676 | Lower Oconee Community Hospital, Inc | Clinic/Center | 117 First Street, Rhine, GA 31077 | 2012-06-21 |
Street Address |
3101 US HIGHWAY 280 |
City | AILEY |
State | GA |
Zip Code | 30410-3659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538122155 | Higgston Family Clinic | Clinic/Center | 3101 Us Highway 280, Ailey, GA 30410-3659 | 2006-04-07 |
1740385848 | Emergency Medicine Pa Dba Higgston Urgent Care | Clinic/Center | 3101 Us Highway 280, Ailey, GA 30410-3659 | 2006-09-13 |
1528008844 | Higgston Urgent Care & Rural Health | Clinic/Center | 3101 Us Highway 280, Ailey, GA 30410-3659 | 2006-06-07 |
1467407387 | Brent Alan Cale, M.d., PC | Family Medicine | 3101 Us Highway 280, Ailey, GA 30410-3659 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902080104 | Lisa Marie Keene | Counselor | 760 East Church Street, Ailey, GA 30410 | 2007-12-24 |
1053714394 | Patricia Marsters | Contractor | 818 Old Ailey Lothair Rd, Ailey, GA 30410-3332 | 2014-10-01 |
1245399195 | Tracy L Silvey | Physician Assistant | 120 Tara Dr, Ailey, GA 30410-3548 | 2006-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053714394 | Patricia Marsters | Contractor | 818 Old Ailey Lothair Rd, Ailey, GA 30410-3332 | 2014-10-01 |
1902080104 | Lisa Marie Keene | Counselor | 760 East Church Street, Ailey, GA 30410 | 2007-12-24 |
1245399195 | Tracy L Silvey | Physician Assistant | 120 Tara Dr, Ailey, GA 30410-3548 | 2006-12-06 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538122155 | Higgston Family Clinic | Clinic/Center | 3101 Us Highway 280, Ailey, GA 30410-3659 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
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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.