EAST CENTRAL REGIONAL HOSPITAL
NPI 1992036909
Pharmacy - Long Term Care Pharmacy in Gracewood, GA

NPI Status: Active since January 15, 2010

Contact Information

100 MYRTLE BLVD
GRACEWOOD, GA
ZIP 30812
Phone: (706) 790-2496
Fax: (706) 790-2340

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  • Organization
  • Pharmacy
  • Long Term Care Pharmacy
  • Accepts Insurance

About EAST CENTRAL REGIONAL HOSPITAL

This page provides the complete NPI Profile along with additional information for East Central Regional Hospital, a provider established in Gracewood, Georgia operating as a Pharmacy, focusing in long term care pharmacy . The healthcare provider is registered in the NPI registry with number 1992036909 assigned on January 2010. The practitioner's primary taxonomy code is 3336L0003X with license number PHH004147 (GA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as East Central Regional Hospital. The authorized official of this NPI record is Mr. Paul Brock (Regional Hospital Administrator)

NPI
1992036909
Provider Legal Name
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Other Organization Name
EAST CENTRAL REGIONAL HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
100 MYRTLE BLVD GRACEWOOD, GA 30812
Location Phone
(706) 790-2496
Location Fax
(706) 790-2340
Mailing Address
100 MYRTLE BLVD GRACEWOOD, GA 30812
Mailing Phone
(706) 790-2030
Mailing Fax
(706) 790-2340
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2010
Last Update Date
05-20-2015
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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

Pharmacy Long Term Care Pharmacy

Taxonomy Code
3336L0003X
Type
Suppliers
License No.
PHH004147
License State
GA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • BlueCross B15E $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
  • BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental - EPO
  • BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health� - EPO
  • Molina Bronze Enhanced 3500 - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision - HMO
  • Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision - HMO
  • Molina Bronze Saver 7000 - HMO
  • Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
  • Molina Bronze Saver 7000 Plus with Adult Vision - HMO
  • Molina Bronze Smart Heart Health - HMO
  • Molina Bronze Standard - HMO
  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Enhanced 895 - HMO
  • Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
  • Molina Gold Enhanced 895 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Elite Saver Plus - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple Women's Health with Menopause Benefits - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with Atrium Health - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with Atrium Health - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Bronze Simple Chronic Care CKM | with Atrium Health - HMO
  • Bronze Simple Diabetes | with Atrium Health - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with Atrium Health - HMO
  • Silver Classic - HMO
  • Silver Classic | with Atrium Health - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with Atrium Health - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health - HMO
  • Silver Simple Chronic Care CKM | with Atrium Health - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple Diabetes | with Atrium Health - HMO
  • Silver Simple PCP Saver - HMO
  • Bronze Classic Standard - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Simple - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Buena Salud Bronce Simple Para Diabetes - HMO
  • Gold Classic - HMO
  • Gold Classic Standard - HMO
  • Gold Simple - HMO
  • Gold Simple Diabetes - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple PCP Saver - HMO
  • Silver Simple Specialist Saver with COPD - HMO
  • Silver Simple Women's Health with Menopause Benefits - HMO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic 4700 | MercyOne - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard - PPO
  • Bronze Classic Standard | MercyOne - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus - PPO
  • Bronze Elite + PCP Saver Plus | MercyOne - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple - EPO
  • Bronze Simple - PPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - EPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - PPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne - EPO
  • Bronze Simple Chronic Care CKM - EPO
  • Bronze Simple Chronic Care CKM - PPO
  • Bronze Classic PCP Saver | Cleveland Clinic - HMO
  • Bronze Classic Standard | Cleveland Clinic - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Bronze Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Bronze Simple Diabetes | Cleveland Clinic - HMO
  • Bronze Simple HSA | Cleveland Clinic - HMO
  • Gold Classic Standard | Cleveland Clinic - HMO
  • Gold Elite | Cleveland Clinic - HMO
  • Gold Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Classic Standard | Cleveland Clinic - HMO
  • Silver Elite Saver Plus | Cleveland Clinic - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic - HMO
  • Silver Simple Chronic Care CKM | Cleveland Clinic - HMO
  • Silver Simple Diabetes | Cleveland Clinic - HMO
  • Silver Simple PCP Saver | Cleveland Clinic - HMO
  • Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic - HMO
  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO
  • Sanford Individual TRUE $1,750 - HMO
  • Sanford Individual TRUE $10,600 - HMO
  • Sanford Individual TRUE $3,500 - HMO
  • Sanford Individual TRUE $4,750 - HMO
  • Sanford Individual TRUE $6,500 - HMO
  • Sanford Individual TRUE $7,200 HSA Qualified - HMO
  • Sanford Individual TRUE Standardized $2,000 - HMO
  • Sanford Individual TRUE Standardized $6,000 - HMO
  • Sanford Individual TRUE Standardized $7,500 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. PAUL BROCK

Authorized Official Title
REGIONAL HOSPITAL ADMINISTRATOR
Authorized Official Phone
(706) 790-2030

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1110395OTHER (01)GANCPDP
000355737AMEDICAID (05)GA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992036909, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 0 + 3 + 1 + 2 + 9 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1992036909.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Neurology)
100 MYRTLE BLVD, GRACEWOOD BLDG 103B
GRACEWOOD, GA 30812
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Family Medicine
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Dentist
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Pediatrics
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Dentist
100 MYRTLE BLVD, EAST CENTRAL REGIONAL HOSPITAL
GRACEWOOD, GA 30812
Intermediate Care Facility, Intellectual Disabilities
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Skilled Nursing Facility
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Pharmacist
100 MYRTLE BLVD, EAST CENTRAL REGIONAL HOSPITAL DEPT OF PHARMACY
GRACEWOOD, GA 30812
Pharmacist
100 MYRTLE BLVD, DEPT OF PHARMACY
GRACEWOOD, GA 30812
General Practice
100 MYRTLE BLVD, 103B
GRACEWOOD, GA 30812
Skilled Nursing Facility
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Intermediate Care Facility, Intellectual Disabilities
100 MYRTLE BLVD
AUGUSTA, GA 30812
Intermediate Care Facility, Intellectual Disabilities
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Psychiatric Hospital
100 MYRTLE BLVD
GRACEWOOD, GA 30812
Dentist
100 MYRTLE BLVD
GRACEWOOD, GA 30812

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992036909, enumerated as an "organization" on January 15, 2010.

The provider is located at 100 MYRTLE BLVD GRACEWOOD, GA 30812 and the phone number is (706) 790-2496.

Pharmacy with taxonomy code 3336L0003X and a focus in Long Term Care Pharmacy.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BlueCross. Please consult your insurance carrier or call the provider to verify.