Provider Demographics
NPI:1629185285
Name:BACON COUNTY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:BACON COUNTY HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:912-632-8961
Mailing Address - Street 1:PO DRAWER 1987
Mailing Address - Street 2:302 SOUTH WAYNE STREET
Mailing Address - City:ALMA
Mailing Address - State:GA
Mailing Address - Zip Code:31510-0987
Mailing Address - Country:US
Mailing Address - Phone:912-632-8961
Mailing Address - Fax:912-632-5000
Practice Address - Street 1:302 S WAYNE ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:GA
Practice Address - Zip Code:31510-2922
Practice Address - Country:US
Practice Address - Phone:912-632-8961
Practice Address - Fax:912-632-5000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00000118AMedicaid
GA00000118AMedicaid