Organization
TY COBB HEALTHCARE SYSTEM
Active
Other names
Cobb Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY A MASSEY (CONTROLLER)
(706) 245-1290
Entity
Organization
Contact information
Practice address
521 FRANKLIN SPRINGS ST, ROYSTON, GA 30662-3934
(706) 245-5071
(706) 245-1411
Mailing address
521 FRANKLIN SPRINGS ST, PO BOX 589, ROYSTON, GA 30662-3934
(706) 245-5071
(706) 245-1411
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
059-521
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000437A
—
GA
01
—
000115
BCBS
GA
05
—
07708770
—
MS
05
—
1100027
—
NC
01
—
110027B000000
TRAILBLAZER
GA
01
—
2505724
AETNA
—
05
—
413823
—
SC
01
—
HOSP68
CAHABA MEDICARE PART B
GA
Enumeration date
09/19/2006
Last updated
05/23/2008
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