THE COBB FOUNDATION INC. NPI 1871609735

NPI Information

NPI: 1871609735
Provider Name: THE COBB FOUNDATION, INC.

Doing Business As: HART COUNTY HOSPITAL SWINGBED

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

Address:
138 W GIBSON ST
HARTWELL, GA
ZIP 30643
Phone: (706) 856-6100
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THE COBB FOUNDATION, INC. is a medicare defined swing bed unit in Hartwell, 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. THE COBB FOUNDATION, INC. NPI is 1871609735. The provider is registered as an organization entity type.
The provider Is Doing Business As Hart County Hospital Swingbed.

The provider's business location address is:

138 W GIBSON ST
HARTWELL, GA
ZIP 30643-847
Phone: (706) 856-6100
Fax: (706) 856-6294

The provider's authorized official is Jerry R Wise .
The authorized official title is Ceo/administratro and has the following contact phone number (706) 856-6113.

The CLIA number assigned to this NPI record is 11D2290534 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 8/4/2008.

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	275N00000X	Medicare Defined Swing Bed Unit		073-494	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	11U059	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	00000921S	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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