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MACON COUNTY MEDICAL CENTER INC NPI 1164574885


NPI Information

NPI: 1164574885
Provider Name: MACON COUNTY MEDICAL CENTER, INC

Doing Business As: FLINT RIVER CLINIC AT BUTLER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
80 WEST MAIN STREET
STE B
BUTLER, GA
ZIP 31006
Phone: (478) 862-3879
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MACON COUNTY MEDICAL CENTER, INC is a clinic center in Butler, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MACON COUNTY MEDICAL CENTER, INC NPI is 1164574885. The provider is registered as an organization entity type.
The provider Is Doing Business As Flint River Clinic At Butler.

The provider's business location address is:

80 WEST MAIN STREET
STE B
BUTLER, GA
ZIP 31006-156
Phone: (478) 862-3879

The provider's authorized official is Laurie Hair .
The authorized official title is Chief Financial Officer and has the following contact phone number (478) 472-3244.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 7/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1118517MEDICARE OSCAR/CERTIFICATIONGEORGIA
2087221830AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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