EAST CENTRAL REGIONAL HOSPITAL – NPI #1992036909
Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

EAST CENTRAL REGIONAL HOSPITAL is a pharmacy located in FORT VALLEY, GA. NPPES has assigned the NPI number 1992036909 to EAST CENTRAL REGIONAL HOSPITAL on January 15, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST CENTRAL REGIONAL HOSPITAL” is a dba name, the actual legal business name for this organization is DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES. The primary taxonomy selected by this provider is 3336L0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Long Term Care Pharmacy

The NPI profile was previously updated about 11 years ago on May 20, 2015. 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 EAST CENTRAL REGIONAL HOSPITAL below.

NPI Profile for
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES

NPI Number
1992036909
Enumeration Date

(more than 16 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
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Doing Business As (dba): EAST CENTRAL REGIONAL HOSPITAL
Primary location
100 MYRTLE BLVD
FORT VALLEY, GA 30812-1500
Phone: (706) 790-2496 Fax: (706) 790-2340
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PAUL BROCK
REGIONAL HOSPITAL ADMINISTRATOR
Phone: (706) 790-2030
Updated
Identifiers

Identifiers for EAST CENTRAL REGIONAL HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNCPDPGA1110395
MEDICAIDGA000355737A
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
3336L0003X
- Pharmacy / Long Term Care Pharmacy (Primary)
GA PHH004147

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.