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MITCHELL COUNTY DIALYSIS FACILITY
NPI 1205867256
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Camilla, GA

Active since July 06, 2006
251 US HIGHWAY 19 N, CAMILLA, GA 31730(229) 336-5874(229) 336-5878 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell County Dialysis Facility NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MITCHELL COUNTY DIALYSIS FACILITY (NPI 1205867256) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Camilla, Georgia and active in the NPI registry since July 2006. The organization lists Gregory S. Hembree, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205867256
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NameJOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.
Location Address251 US HIGHWAY 19 NCamilla, GA 31730-1410
Mailing Address920 Cairo RdThomasville, GA 31792-4255 · (229) 228-8800 · Fax (229) 228-8892
Phone(229) 336-5874
Fax(229) 336-5878
Organization SubpartNo
Authorized OfficialGregory S. HembreeCfo · (229) 228-2880
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 3, 2017
✔ NPI 1205867256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
License✔ Licensed in GA · ESRD001132
251 US HIGHWAY 19 N, Camilla, GA 31730
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Other Names 1

Doing Business AsMitchell County Dialysis Facility

Other Identifiers 2

Medicare OSCAR/certification113502GA
Medicaid000407327AGA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHENIKA LAVERNE JACKSON O.T.
Occupational Therapist
251 US HIGHWAY 19 N
CAMILLA, GA 31730
Mitchell County (229) 336-8255
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
251 US HIGHWAY 19 N
CAMILLA, GA 31730
Mitchell County (229) 522-2045
ROBIN LYN THOMAS P.T.
Physical Therapist
251 US HIGHWAY 19 N
CAMILLA, GA 31730
Mitchell County (229) 336-8255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John D. Archbold Memorial Hospital, Inc.'s NPI number?

The NPI number for John D. Archbold Memorial Hospital, Inc. is 1205867256. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Mitchell County Dialysis Facility.

Where is John D. Archbold Memorial Hospital, Inc. located?

John D. Archbold Memorial Hospital, Inc. is located at 251 Us Highway 19 N, Camilla, GA 31730. The listed phone number is (229) 336-5874.

What is John D. Archbold Memorial Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for John D. Archbold Memorial Hospital, Inc. was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.