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Organization
COFFEE REGIONAL MEDICAL CENTER, INC
Active
Organization
COFFEE REGIONAL MEDICAL CENTER, INC
Active
Other names
Coffee Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI LEWIS (PRESIDENT/CEO)
(912) 384-1900
Entity
Organization
Contact information
Practice address
1101 OCILLA ROAD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 389-2112
Mailing address
P O BOX 1227, DOUGLAS, GA 31534-1227
(912) 384-1900
(912) 389-2112
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
034490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000448A
—
GA
Enumeration date
06/27/2006
Last updated
12/17/2014
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