Organization
COFFEE REGIONAL MEDICAL CENTER, INC
Active
Other names
COFFEE REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONDA CRAVEY (CONTROLLER)
(912) 384-1900
Entity
Organization
Contact information
Practice address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
Mailing address
1101 OCILLA RD, DOUGLAS, GA 31533-2207
(912) 384-1900
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
034-049
GA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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