OPTIM MEDICAL CENTER - SCREVEN – NPI #1225339898
General Acute Care Hospital

OPTIM MEDICAL CENTER - SCREVEN is a general acute care hospital located in SYLVANIA, GA. NPPES has assigned the NPI number 1225339898 to OPTIM MEDICAL CENTER - SCREVEN on November 12, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OPTIM MEDICAL CENTER - SCREVEN” is a dba name, the actual legal business name for this organization is SCREVEN COUNTY HOSPITAL, LLC. The primary taxonomy selected by this provider is 282NC0060X from the Health Care Provider Taxonomy code set, which is classified as General Acute Care Hospital, specializing in Critical Access

The NPI profile was last updated on Dec 06, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OPTIM MEDICAL CENTER - SCREVEN below.

NPI Profile for
SCREVEN COUNTY HOSPITAL, LLC

NPI Number
1225339898
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SCREVEN COUNTY HOSPITAL, LLC
Doing Business As (dba): OPTIM MEDICAL CENTER - SCREVEN
Primary location
215 MIMS RD
SYLVANIA, GA 30467-1994
Phone: (912) 564-7426 Fax:
1 Other location(s):
209B Mims Rd
Sylvania, GA 30467-1994
Phone: (912) 564-7426
Mailing address
460 MALL BLVD
SUITE B
SAVANNAH, GA 31406-4801
Phone: (912) 644-1626 Fax: (912) 644-5260
Organization Subpart
No
Authorized Official
DAVID VILLA
CEO
Phone: (505) 695-9410
Updated
Certification Date
Dec 06, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
282NC0060X
- General Acute Care Hospital / Critical Access (Primary)		 GA 124-164

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.