# HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hospital and Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053388256
- **Authorized official:** KAREN FAIRCLOTH (CFO)
- **Authorized official phone:** (229) 246-8211

## Contact information

- **Practice address:** 1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
- **Practice address phone:** (229) 246-3500
- **Practice address fax:** (229) 246-8142
- **Mailing address:** 1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
- **Mailing address phone:** (229) 246-3500
- **Mailing address fax:** (229) 246-8142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 43-112 | GA | — |
| 314000000X | Skilled Nursing Facility | 1-043-500 | GA | — |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 01/27/2022