Provider Demographics
NPI:1245446699
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:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-632-8961
Mailing Address - Street 1:302 S WAYNE ST
Mailing Address - Street 2:P O DRAWER 1987
Mailing Address - City:ALMA
Mailing Address - State:GA
Mailing Address - Zip Code:31510-2922
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:2007-05-15
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003-010275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11Z327Medicare ID - Type Unspecified