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NPI Code Detail

MEDICARE: HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY

MEDICARE: HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY
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
1314000000XSkilled Nursing FacilityGA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881683324
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY
Provider Business Mailing Address
First Line : 1500 E SHOTWELL ST
Second Line :
City : BAINBRIDGE
State : GA
Zip : 39819-4256
Country : US
Telephone Number : 229-243-6100
Fax Number : 229-243-3323
Provider Business Practice Location Address
First Line : 1500 E SHOTWELL ST
Second Line :
City : BAINBRIDGE
State : GA
Zip : 39819-4256
Country : US
Telephone Number : 229-243-6100
Fax Number : 229-243-3323
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. CYNTHIA K. VICKERS
Credential : RN
Telephone Number : 229-243-6111
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/21/2022

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1053388256 — HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY
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1023076981 — DR. THOMAS H. PARKER JR. MD
Practice Location Address:
1500 E SHOTWELL ST , THOMAS H PARKER JR, MD, PC DBA BAINBRIDGE ANESTHESIA
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1487721718 — VICTORIA LEWIS-HOLLAND D.O.
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Directions to “HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY ” Practice Location

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