MEDICARE: EFFINGHAM HOSPITAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

General Provider Information

NPI Number	:	1083042352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFFINGHAM HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	459 HIGHWAY 119 SOUTH
Second Line	:	ATTN.: ALIA ALLEN/MEDICAL STAFF OFFICE
City	:	SPRINGFIELD
State	:	GA
Zip	:	31329
Country	:	US
Telephone Number	:	912-754-0175
Fax Number	:	912-754-6395

Provider Business Practice Location Address
First Line	:	110 GOSHEN RD
Second Line	:
City	:	RINCON
State	:	GA
Zip	:	31326-5545
Country	:	US
Telephone Number	:	912-826-5239
Fax Number	:	912-826-1497

Authorized Official
Title or Position	:	INTERIM CEO
Name	:	MRS. FRANCINE BAKER-WITT
Credential	:	RN, MBA, CNHA
Telephone Number	:	912-754-0142

Provider Enumeration Date	:	10/24/2013
Last Update Date	:	05/28/2025

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