Organization
SUMTER REGIONAL HOSPITAL
Active
Parent organization
SUMTER REGIONAL HOSPITAL
Other names
Ellaville Primary Medicine Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMTER REGIONAL HOSPITAL
Authorized official
TROY DAVID HAMMETT (VP FINANCE CFO)
(229) 931-1280
Entity
Organization
Contact information
Practice address
72 S BROAD ST, ELLAVILLE, GA 31806
(229) 937-5321
(229) 937-2232
Mailing address
PO BOX 65, AMERICUS, GA 31719
(229) 924-6011
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000019F
—
GA
Enumeration date
10/02/2006
Last updated
02/26/2008
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