JOHN D. ARCHBOLD MEMORIAL HOSPITAL INC. NPI 1851486005

NPI Information

NPI: 1851486005
Provider Name: JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.

Doing Business As: THOMAS PRIMARY CARE CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
440 SMITH AVE
THOMASVILLE, GA
ZIP 31792
Phone: (229) 227-5510
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JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. is a rural health clinic center in Thomasville, GA. JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. NPI is 1851486005. The provider is registered as an organization entity type.
The provider Is Doing Business As Thomas Primary Care Clinic.

The provider's business location address is:

440 SMITH AVE
THOMASVILLE, GA
ZIP 31792-535
Phone: (229) 227-5510
Fax: (229) 227-5527

The provider's authorized official is Charles D. Hightower .
The authorized official title is Cfo and has the following contact phone number (229) 228-2853.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 5/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	136-91	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	113401	MEDICARE OSCAR/CERTIFICATION	GEORGIA
2	000000063I	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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