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EAST CENTRAL REGIONAL HOSPITAL
NPI 1699000703
Intermediate Care Facility, Intellectual Disabilities in Gracewood, GA

Active since October 07, 2009
100 MYRTLE BLVD, GRACEWOOD, GA 30812(706) 790-2030(706) 790-2025 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About East Central Regional Hospital NPPES

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

EAST CENTRAL REGIONAL HOSPITAL (NPI 1699000703) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Gracewood, Georgia and active in the NPI registry since October 2009. The organization lists Paul Brock, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1699000703
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameDEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Location Address100 MYRTLE BLVDGracewood, GA 30812-1500
Mailing Address100 Myrtle BlvdGracewood, GA 30812-1500 · (706) 790-2030 · Fax (706) 790-2025
Phone(706) 790-2030
Fax(706) 790-2025
Organization SubpartNo
Authorized OfficialPaul BrockRegional Hospital Administrator · (706) 790-2030
Enumeration DateOctober 7, 2009
Last NPPES UpdateMay 20, 2015
✔ NPI 1699000703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in GA · 2-121-792
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

100 MYRTLE BLVD, Gracewood, GA 30812
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Other Names 1

Doing Business AsEast Central Regional Hospital

Other Identifiers 1

Medicaid000141204AGA

Other Providers at the Same Location NPPES 17

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

DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Skilled Nursing Facility
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Richmond County (706) 790-2042
DR. DENISE W SMITH M.D.
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Richmond County (706) 790-2160
GEORGIA DEPARTMENT OF HUMAN RESOURCES
Intermediate Care Facility, Intellectual Disabilities
100 MYRTLE BLVD
AUGUSTA, GA 30812
Richmond County (706) 790-2030
SOPHEAP PIN PHARMD
Pharmacist
100 MYRTLE BLVD, DEPT OF PHARMACY
GRACEWOOD, GA 30812
Richmond County (706) 790-2496
DR. RONALD ALAN HYMAN M.D.
Psychiatry & Neurology (Neurology)
100 MYRTLE BLVD, GRACEWOOD BLDG 103B
GRACEWOOD, GA 30812
Richmond County (706) 790-2011
DR. TERRI E LAWLESS M.D.
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Richmond County (706) 790-2160
DR. JOHN ROBERT HELMAN DMD
Dentist
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Richmond County (706) 790-2030
DR. GAIL COLE JACKSON M.D.
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Richmond County (706) 790-2160

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 Department Of Behavioral Health And Developmental Disabilities's NPI number?

The NPI number for Department Of Behavioral Health And Developmental Disabilities is 1699000703. It was assigned to this organization in the NPPES registry on October 7, 2009. The provider is doing business as East Central Regional Hospital.

Where is Department Of Behavioral Health And Developmental Disabilities located?

Department Of Behavioral Health And Developmental Disabilities is located at 100 Myrtle Blvd, Gracewood, GA 30812. The listed phone number is (706) 790-2030.

What is Department Of Behavioral Health And Developmental Disabilities's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Department Of Behavioral Health And Developmental Disabilities was last updated on May 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.