JASPER HEALTH SERVICES INC. NPI 1225031750

NPI Information

NPI: 1225031750
Provider Name: JASPER HEALTH SERVICES, INC.

Doing Business As: JASPER MEMORIAL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
898 COLLEGE ST
MONTICELLO, GA
ZIP 31064
Phone: (706) 468-6411
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JASPER HEALTH SERVICES, INC. is a critical access general acute care hospital in Monticello, GA. The provider is definition to come. JASPER HEALTH SERVICES, INC. NPI is 1225031750. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Jasper Memorial Hospital.

The provider's business location address is:

898 COLLEGE ST
MONTICELLO, GA
ZIP 31064-261
Phone: (706) 468-6411
Fax: (706) 468-9880

The provider's authorized official is Jan Gaston .
The authorized official title is Administrator and has the following contact phone number (706) 468-6411.

The CLIA number assigned to this NPI record is 11D0263738 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/30/2005 and was last updated on 6/22/2021.

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	207Q00000X	Family Medicine		043094	GEORGIA	No
2	207R00000X	Internal Medicine		058023	GEORGIA	No
3	282NC0060X	General Acute Care Hospital	Critical Access	079-592	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	00000998A	MEDICAID	GEORGIA
2	CH9580	OTHER	GEORGIA	RAILROAD MEDICARE

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: 11/14/2023

NPI Synchronization or Removal

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