EFFINGHAM HOSPITAL INC. NPI 1811020407

NPI Information

NPI: 1811020407
Provider Name: EFFINGHAM HOSPITAL, INC.

Doing Business As: EFFINGHAM FAMILY MEDICINE AT GOSHEN

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

Specialization: Rural Health

Address:
100 GOSHEN RD
RINCON, GA
ZIP 31326
Phone: (912) 826-6000
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EFFINGHAM HOSPITAL, INC. is a rural health clinic center in Rincon, GA. EFFINGHAM HOSPITAL, INC. NPI is 1811020407. The provider is registered as an organization entity type.
The provider Is Doing Business As Effingham Family Medicine At Goshen.

The provider's business location address is:

100 GOSHEN RD
RINCON, GA
ZIP 31326-545
Phone: (912) 826-6000
Fax: (912) 826-6016

The provider's authorized official is Francine Baker-witt .
The authorized official title is Interim Ceo and has the following contact phone number (912) 754-0142.

The CLIA number assigned to this NPI record is 11D0899919 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/13/2007 and was last updated on 11/29/2016.

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	261Q00000X	Clinic/Center		RN057176NP	GEORGIA	No
2	261Q00000X	Clinic/Center				No
3	261QR1300X	Clinic/Center	Rural Health		GEORGIA	Yes

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

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