Provider Type Icon

COFFEE REGIONAL MEDICAL CENTER NPI 1992999205


NPI Information

NPI: 1992999205
Provider Name: COFFEE REGIONAL MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1101 OCILLA RD
DOUGLAS, GA
ZIP 31533
Phone: (912) 384-1900
Get Directions

COFFEE REGIONAL MEDICAL CENTER is a clinic center in Douglas, 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). COFFEE REGIONAL MEDICAL CENTER NPI is 1992999205. The provider is registered as an organization entity type.

The provider's business location address is:

1101 OCILLA RD
DOUGLAS, GA
ZIP 31533-207
Phone: (912) 384-1900
Fax: (912) 389-2105

The provider's authorized official is Elaine F Lord .
The authorized official title is Medical Staff Assistant and has the following contact phone number (912) 383-5623.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 8/29/2007.


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
1261Q00000XClinic/Center03941GEORGIAYes

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

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.