PHOEBE BLUE GRAY COMMUNITY HOSPICE
NPI 1164700639
Hospice Care, Community Based in Fitzgerald, GA

NPI Status: Active since August 01, 2011

Contact Information

815 S MAIN ST
FITZGERALD, GA
ZIP 31750
Phone: (229) 424-7330

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  • Organization
  • Hospice Care, Community Based

About PHOEBE BLUE GRAY COMMUNITY HOSPICE

This page provides the complete NPI Profile along with additional information for Phoebe Blue Gray Community Hospice, a provider established in Fitzgerald, Georgia operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1164700639 assigned on August 2011. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Phoebe Blue Gray Community Hospice. The authorized official of this NPI record is Mrs. Paige P Wynn (Cfo)

NPI
1164700639
Provider Legal Name
PHOEBE DORMINY MEDICAL CENTER, INC.
Other Organization Name
PHOEBE BLUE GRAY COMMUNITY HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
815 S MAIN ST FITZGERALD, GA 31750
Location Phone
(229) 424-7330
Mailing Address
200 PERRY HOUSE RD FITZGERALD, GA 31750
Mailing Phone
(229) 424-7100
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2011
Last Update Date
11-08-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. PAIGE P WYNN

Authorized Official Title
CFO
Authorized Official Phone
(229) 424-7100

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164700639
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124140066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 0 + 0 + 6 + 6 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1164700639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164700639, enumerated in the NPI registry as an "organization" on August 01, 2011

The provider is located at 815 S Main St Fitzgerald, Ga 31750 and the phone number is (229) 424-7330

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

This NPI record was last updated on August 01, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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