# COLISEUM MEDICAL CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Piedmont Macon Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598719643
- **Authorized official:** ROBERT C CROSS (VP GOVERNMENT REIMBURSEMENT)
- **Authorized official phone:** (470) 271-3401

## Contact information

- **Practice address:** C/O COLISEUM HEALTH SYSTEM, 350 HOSPITAL DRIVE, MACON, GA 31217
- **Practice address phone:** (478) 765-7000
- **Practice address fax:** (478) 742-1247
- **Mailing address:** 350 HOSPITAL DR, MACON, GA 31217-3838
- **Mailing address phone:** (478) 765-7000
- **Mailing address fax:** (478) 742-1247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 02/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00000459A | — | GA |
| 01 | — | 166202500 | DEPT OF LABOR | — |
| 05 | — | 1729302 | — | LA |
| 05 | — | 200461450A | — | IN |
| 01 | — | 203375 | FLORIDA MEDICAID HMO | FL |
| 05 | — | 25706 | — | MI |
| 01 | — | 3522 | BLUE CROSS | GA |
| 05 | — | 4103009 | — | NJ |
| 05 | — | 912181100 | — | FL |
| 05 | — | HOS0164N | — | AL |