Organization
COFFEE REGIONAL MEDICAL CENTER, INC
Active
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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