COLQUITT REGIONAL MEDICAL CENTER NPI 1720359326

NPI Information

COLQUITT REGIONAL MEDICAL CENTER is a medicare defined swing bed unit in Moultrie, 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. COLQUITT REGIONAL MEDICAL CENTER NPI is 1720359326. The provider is registered as an organization entity type.
The provider Is Doing Business As Swing Bed.

The provider's business location address is:

3131 S MAIN ST
MOULTRIE, GA
ZIP 31768-925
Phone: (229) 985-3420

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

The enumeration date for this NPI number is 1/13/2012 and was last updated on 5/29/2015.

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:

Other Identifiers

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

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