# TIFT REGIONAL HEALTH SYSTEM INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tift Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962462226
- **Authorized official:** CHRISTOPHER DORMAN (PRESIDENT/CEO)
- **Authorized official phone:** (229) 353-6104

## Contact information

- **Practice address:** 901 18TH ST E, TIFTON, GA 31794-3648
- **Practice address phone:** (229) 382-7120
- **Mailing address:** 901 18TH ST E, TIFTON, GA 31794-3648
- **Mailing address phone:** (229) 382-7120
- **Mailing address fax:** (229) 353-7779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 137-180 | GA | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 08/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000001922A | — | GA |
| 05 | — | 1531063 | — | MS |
| 05 | — | 1708569 | — | LA |
| 05 | — | TIF0095N | — | AL |