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NPI 1942264601

NPI 1942264601 : BERRIEN HEALTH CENTER, INC : NASHVILLE, GA

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General NPI Number Information
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    NPI Number           |    1942264601
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    Entity Type          |    Organization 
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    Legal Business Name  |    BERRIEN HEALTH CENTER, INC 
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Dates
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    Enumeration Date     |    04/12/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    414 E MCPHERSON AVE 
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    City                 |    NASHVILLE
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    State                |    GA
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    Zip                  |    31639-2275
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    Country              |    US
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    Telephone            |    229-686-2203
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    Fax                  |    229-686-2203
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Provider Business Mailing Address
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    Address Line         |    PO BOX 866 414 E MCPHERSON AVE
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    City                 |    NASHVILLE
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    State                |    GA
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    Zip                  |    31639-0866
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    Country              |    US
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    Telephone            |    229-686-2203
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    Fax                  |    229-686-2203
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Authorized Official
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    Title or Position    |    OWNER-PHARMACIST
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    Name                 |    MR. HOMER L WHELCHEL 
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    Credential           |    RPH CDM
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    Telephone            |    229-686-2203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    0745820001
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    License Number State |    GA
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Taxonomy #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    0745820001
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    PHRE006158
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    License Number State |    GA
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