Provider Type Icon

UPSON COUNTY HOSPITAL INC NPI 1659376630


NPI Information

NPI: 1659376630
Provider Name: UPSON COUNTY HOSPITAL INC

Doing Business As: UPSON REGIONAL MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization

CLIA Number: 11D2033810

Address:
801 W GORDON ST
THOMASTON, GA
ZIP 30286
Phone: (706) 647-8111
Get Directions

UPSON COUNTY HOSPITAL INC is a general acute care hospital in Thomaston, 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. UPSON COUNTY HOSPITAL INC NPI is 1659376630. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Upson Regional Medical Center.

The provider's business location address is:

801 W GORDON ST
THOMASTON, GA
ZIP 30286-426
Phone: (706) 647-8111
Fax: (706) 647-4389

The provider's authorized official is Jeffrey Tarrant .
The authorized official title is Ceo and has the following contact phone number (706) 647-8111.

The CLIA number assigned to this NPI record is 11D2033810 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 7/17/2020.


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
12084N0400XPsychiatry & NeurologyNeurology145-415GEORGIANo
2282N00000XGeneral Acute Care Hospital145 415GEORGIAYes

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
1000001988SMEDICAIDGEORGIA
2000001988BMEDICAIDGEORGIA
3000001988AMEDICAIDGEORGIA
4000450OTHERGEORGIABLUE CROSS

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.