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GRADY GENERAL HOSPITAL NPI 1013961507


NPI Information

NPI: 1013961507
Provider Name: GRADY GENERAL HOSPITAL
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 11D0699621

Address:
1155 5TH ST SE
CAIRO, GA
ZIP 39828
Phone: (229) 377-1150
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GRADY GENERAL HOSPITAL is a general acute care hospital in Cairo, GA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. GRADY GENERAL HOSPITAL NPI is 1013961507. The provider is registered as an organization entity type.

The provider's business location address is:

1155 5TH ST SE
CAIRO, GA
ZIP 39828-142
Phone: (229) 377-1150
Fax: (229) 377-7953

The provider's authorized official is Gregory S. Hembree .
The authorized official title is Cfo and has the following contact phone number (229) 228-2880.

The CLIA number assigned to this NPI record is 11D0699621 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 3/8/2017.


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
1282N00000XGeneral Acute Care Hospital065-413GEORGIAYes

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
1000020OTHERGEORGIABC/BS GA
2000000844AMEDICAIDGEORGIA
3CG7045MEDICARE PINGEORGIA
4110121MEDICARE OSCAR/CERTIFICATIONGEORGIA
5IT921AMEDICARE OSCAR/CERTIFICATIONFLORIDA
6F820MEDICARE PINSOUTH CAROLINA
7110121A000000OTHERGEORGIATRAILBLAZER
8HOSP59MEDICARE PINGEORGIA
9C16004MEDICARE PINGEORGIA
10103G703717MEDICARE OSCAR/CERTIFICATIONTENNESSEE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.