Organization
BACCHUS OPERATIONS GROUP, INC
Active
Organization
BACCHUS OPERATIONS GROUP, INC
Active
Other names
Flint River Hospital dba Riverside Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C PATTERSON (CEO)
(478) 472-3100
Entity
Organization
Contact information
Practice address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-3248
Mailing address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-3248
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11S190
MEDICARE PROVIDER #
GA
Enumeration date
09/17/2010
Last updated
06/10/2014
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