COLQUITT REGIONAL MEDICAL CENTER NPI 1316154834

NPI Information

NPI: 1316154834
Provider Name: COLQUITT REGIONAL MEDICAL CENTER

Other Name: COLQUITT REGIONAL HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2516 5TH AVE SE
MOULTRIE, GA
ZIP 31788
Phone: (229) 985-3420
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COLQUITT REGIONAL MEDICAL CENTER is a hospice care community based in Moultrie, GA. COLQUITT REGIONAL MEDICAL CENTER NPI is 1316154834. The provider is registered as an organization entity type.
The provider Other Name Is Colquitt Regional Hospice.

The provider's business location address is:

2516 5TH AVE SE
MOULTRIE, GA
ZIP 31788-207
Phone: (229) 985-3420

The provider's authorized official is James L Matney .
The authorized official title is President and has the following contact phone number (229) 985-3420.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 4/25/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		035069	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000694152A	MEDICAID	GEORGIA
2	111542	MEDICARE OSCAR/CERTIFICATION	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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