Provider Demographics
NPI:1164564977
Name:CHAPMAN HEALTHCARE SERV INC.
Entity Type:Organization
Organization Name:CHAPMAN HEALTHCARE SERV INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:BIRAM
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:912-537-0522
Mailing Address - Street 1:605 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30474-4740
Mailing Address - Country:US
Mailing Address - Phone:912-537-0522
Mailing Address - Fax:912-537-0530
Practice Address - Street 1:305 MAPLE DR
Practice Address - Street 2:
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-8908
Practice Address - Country:US
Practice Address - Phone:912-537-0522
Practice Address - Fax:912-537-0530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00412343CMedicaid
GA00412343BMedicaid
GA00412343AMedicaid
GA00412343CMedicaid