EMANUEL COUNTY HOSPITAL AUTHORITY NPI 1962639807

NPI Information

  • NPI: 1962639807
  • Provider Name: EMANUEL COUNTY HOSPITAL AUTHORITY
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: EMANUEL OB/GYN
  • CLIA Number: 11D2132692
  • Address: 125B VICTORY DR
    SWAINSBORO, GA
    ZIP 30401
  • Phone: (478) 289-3190

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NPI Details

EMANUEL COUNTY HOSPITAL AUTHORITY is a clinic center in Swainsboro, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EMANUEL COUNTY HOSPITAL AUTHORITY NPI is 1962639807. The provider is registered as an organization entity type.
The provider Is Doing Business As Emanuel Ob/gyn.

The provider's business location address is:

125B VICTORY DR
SWAINSBORO, GA
ZIP 30401-234
Phone: (478) 289-3190
Fax: (478) 419-1252

The provider's authorized official is Owen Tyrell Kelly .
The authorized official title is Delegated Official and has the following contact phone number (478) 289-1192.

The CLIA number assigned to this NPI record is 11D2132692 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/18/2009 and was last updated on 2/25/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

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: 11/21/2025

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