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COFFEE REGIONAL MEDICAL CENTER INC NPI 1366974263


NPI Information

NPI: 1366974263
Provider Name: COFFEE REGIONAL MEDICAL CENTER, INC

Doing Business As: COFFEE REGIONAL MEDICAL CENTER

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
1101 OCILLA RD
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-1900
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COFFEE REGIONAL MEDICAL CENTER, INC is a medicare defined swing bed unit in Douglas, GA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. COFFEE REGIONAL MEDICAL CENTER, INC NPI is 1366974263. The provider is registered as an organization entity type.
The provider Is Doing Business As Coffee Regional Medical Center.

The provider's business location address is:

1101 OCILLA RD
DOUGLAS, GA
ZIP 31533-207
Phone: (912) 384-1900

The provider's authorized official is Lavonda Cravey .
The authorized official title is Controller and has the following contact phone number (912) 384-1900.

The enumeration date for this NPI number is 3/30/2017 and was last updated on 3/30/2017.


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
1275N00000XMedicare Defined Swing Bed Unit034-049GEORGIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.