EAST CENTRAL REGIONAL HOSPITAL (NPI# 1982818845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982818845 |
| Entity Type | Organization |
| Organization Name | EAST CENTRAL REGIONAL HOSPITAL |
| Practice Address |
100 Myrtle Blvd Gracewood GA 30812-1500 |
| Practice Telephone | 7067902042 |
| Mailing Telephone | 7067902042 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BENJAMIN WALKER (ACTING HOSPITAL ADMINISTRATOR) |
| Authorized Official Telephone | 7067902030 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 121231 | GA | Hospitals |
| Street Address |
100 MYRTLE BLVD |
| City | GRACEWOOD |
| State | GA |
| Zip Code | 30812-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639166234 | Ga Department of Human Resources | Skilled Nursing Facility | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2005-09-29 |
| 1104330398 | Sopheap Pin | Pharmacist | 100 Myrtle Blvd, Dept of Pharmacy, Gracewood, GA 30812 | 2017-11-27 |
| 1427434273 | Cynthia Bass Kucela | Pharmacist | 100 Myrtle Blvd, East Central Regional Hospital Dept of Pharmacy, Gracewood, GA 30812 | 2015-08-04 |
| 1013391119 | Hasim Momin | Dentist | 100 Myrtle Blvd, Gracewood, GA 30812 | 2015-07-17 |
| 1629463864 | Inoka Abeysiri Devapriya | Surgery | 100 Myrtle Blvd, 103b, Gracewood, GA 30812 | 2015-04-04 |
| 1962720664 | Eliza A Myers | Dentist | 100 Myrtle Blvd, East Central Regional Hospital, Gracewood, GA 30812 | 2010-05-06 |
| 1992036909 | Department of Behavioral Health and Developmental Disabilities | Pharmacy | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2010-01-15 |
| 1699000703 | Department of Behavioral Health and Developmental Disabilities | Intermediate Care Facility, Mentally Retarded | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1053646166 | Department of Behavioral Health and Developmental Disabilities | Skilled Nursing Facility | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2009-10-07 |
| 1417165531 | Gail Cole Jackson | Pediatrics | 100 Myrtle Blvd, Gracewood, GA 30812-1500 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932571312 | Holli E Pender | Pharmacist | 100 Myrtle Blvd., Gracewood, GA 30812 | 2015-10-26 |
| 1295163277 | Melissa B Lynch | Contractor | 1523 Keron Way, Gracewood, GA 30812 | 2013-10-29 |
| 1043822067 | Marla Marie Mitcham | Pharmacist | 100 Myrtle Blvd., Pharmacy Bldg. 15 Room G12, Gracewood, GA 30812 | 2020-08-20 |
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922485804 | Mildred Grant | Psychiatric Hospital | 255 Sumner Lakes Rd, Sumner, GA 31789-4431 | 2015-04-30 |
| 1013259035 | Janet Warrington | Psychiatric Hospital | 438 Clem Lowell Rd, Carrollton, GA 30116-9255 | 2013-03-18 |
| 1093088643 | Ramsay Youth Services of Georgia, Inc. | Psychiatric Hospital | 3500 Riverside Dr, Macon, GA 31210-2509 | 2012-02-13 |
| 1518295518 | Reentry Corporation of America | Psychiatric Hospital | 260 Peachtree St, Atlanta, GA 30303-1202 | 2009-12-02 |
| 1427292333 | Uhs of Savannah LLC | Psychiatric Hospital | 633 Stephenson Ave, Savannah, GA 31405-5970 | 2009-04-22 |
| 1770742132 | Riverwoods Behavioral Health, LLC | Psychiatric Hospital | 223 Medical Center Drive, Riverdale, GA 30274 | 2008-06-02 |
| 1306913736 | Uhs of Laurel Heights, Lp | Psychiatric Hospital | 934 Briarcliff Rd Ne, Atlanta, GA 30306-2618 | 2006-11-29 |
| 1285663385 | Georgia Department of Human Resources | Psychiatric Hospital | 705 North Division Street Nw, Building 103 - Clinical Director's Office, Rome, GA 30165-1454 | 2006-07-01 |
| 1336114321 | Talbott Recovery Campus | Psychiatric Hospital | 5355 Hunter Rd, Atlanta, GA 30349-2594 | 2006-02-22 |
| 1205809571 | Turning Point Care Center LLC | Psychiatric Hospital | 3015 Veterans Pkwy S, Moultrie, GA 31788-6705 | 2006-02-08 |
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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.