FLINT RIVER RURAL HEALTH CLINIC - ELLAVILLE
NPI 1518026202
Clinic/Center - Rural Health in Montezuma, GA

Q: What is Bacchus Operations Group, Inc.'s NPI number?

The NPI number for Bacchus Operations Group, Inc. is 1518026202. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Flint River Rural Health Clinic - Ellaville.

Q: What is Bacchus Operations Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since December 08, 2006

509 SUMTER STREET, MONTEZUMA, GA 31063(478) 472-3100(478) 472-2412 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Flint River Rural Health Clinic - Ellaville NPPES

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

FLINT RIVER RURAL HEALTH CLINIC - ELLAVILLE (NPI 1518026202) is a healthcare organization registered as a rural health in Montezuma, Georgia and active in the NPI registry since December 2006. The organization lists Philip H Eastman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1518026202

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBACCHUS OPERATIONS GROUP, INC.

Location Address509 SUMTER STREETMontezuma, GA 31063-1733

Mailing Address509 Sumter Street, Po Box 770Montezuma, GA 31063-1733 · (478) 472-3100 · Fax (478) 472-2412

Phone(478) 472-3100

Fax(478) 472-2412

Organization SubpartNo

Authorized OfficialPhilip H EastmanChief Executive Officer · (478) 472-3100

Enumeration DateDecember 8, 2006

Last NPPES UpdateMarch 23, 2012

✔ NPI 1518026202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in GA · 094-391

509 SUMTER STREET, Montezuma, GA 31063

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Other Names 1

Doing Business AsFlint River Rural Health Clinic - Ellaville

Other Identifiers 2

Medicaid000149487BGA

Medicare ID-Type Unspecified113404GA · Provider Number

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 Bacchus Operations Group, Inc.'s NPI number?

The NPI number for Bacchus Operations Group, Inc. is 1518026202. It was assigned to this organization in the NPPES registry on December 8, 2006. The provider is doing business as Flint River Rural Health Clinic - Ellaville.

Where is Bacchus Operations Group, Inc. located?

Bacchus Operations Group, Inc. is located at 509 Sumter Street, Montezuma, GA 31063. The listed phone number is (478) 472-3100.

What is Bacchus Operations Group, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Bacchus Operations Group, Inc. was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.