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1194629113 NPI number — HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY

NPI Number: 1194629113
Health Care Provider/Practitioner: HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY

Information about “1194629113” NPI (HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY) exists in 1194629113 in HTML format HTML  |  1194629113 in plain Text format TXT  |  1194629113 in PDF (Portable Document Format) PDF  |  1194629113 in an XML format XML  formats.

NPI Number : 1194629113 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194629113",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI",
    "ParentOrgTIN": null,
    "OrgName": "HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "603 WHEAT AVE STE 700",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BAINBRIDGE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "39819-4369",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "603 WHEAT AVE STE 700",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BAINBRIDGE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "39819-4369",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "229-243-6100",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/05/2026",
    "LastUpdateDate": "10/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FAIRCLOTH",
    "AuthorizedOfficialFirstName": "KAREN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "AUTHORIZED OFFICIAL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "229-243-6100",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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