Organization
HOSPITAL AUTHORITY OF MITCHELL COUNTY
Active
Other names
Mitchell Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY S. HEMBREE (CFO)
(229) 228-2880
Entity
Organization
Contact information
Practice address
37 S ELLIS ST, CAMILLA, GA 31730-1812
(229) 336-8377
Mailing address
920 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 228-8800
(229) 228-8892
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1-101-125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000142018A
—
GA
Enumeration date
10/10/2006
Last updated
04/25/2019
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