Provider Type Icon

HOSPITAL AUTHORITY OF CANDLER COUNTY NPI 1588868947


NPI Information

NPI: 1588868947
Provider Name: HOSPITAL AUTHORITY OF CANDLER COUNTY

Doing Business As: CANDLER COUNTY HOSPITAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
400 CEDAR ST
METTER, GA
ZIP 30439
Phone: (912) 685-1769
Get Directions

HOSPITAL AUTHORITY OF CANDLER COUNTY is a medicare defined swing bed unit in Metter, GA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. HOSPITAL AUTHORITY OF CANDLER COUNTY NPI is 1588868947. The provider is registered as an organization entity type.
The provider Is Doing Business As Candler County Hospital.

The provider's business location address is:

400 CEDAR ST
METTER, GA
ZIP 30439-338
Phone: (912) 685-1769
Fax: (912) 685-3905

The provider's authorized official is Willuck Bennett .
The authorized official title is Chief Financial Officer and has the following contact phone number (912) 685-1769.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 2/24/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1275N00000XMedicare Defined Swing Bed Unit021-023GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100000316SMEDICAIDGEORGIA

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: 4/28/2024

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.