Organization
COLISEUM MEDICAL CENTER, LLC
Active
Other names
Piedmont Macon Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C CROSS (VP GOVERNMENT REIMBURSEMENT)
(470) 271-3401
Entity
Organization
Contact information
Practice address
C/O COLISEUM HEALTH SYSTEM, 350 HOSPITAL DRIVE, MACON, GA 31217
(478) 765-7000
(478) 742-1247
Mailing address
350 HOSPITAL DR, MACON, GA 31217-3838
(478) 765-7000
(478) 742-1247
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000459A
—
GA
01
—
166202500
DEPT OF LABOR
—
05
—
1729302
—
LA
05
—
200461450A
—
IN
01
—
203375
FLORIDA MEDICAID HMO
FL
05
—
25706
—
MI
01
—
3522
BLUE CROSS
GA
05
—
4103009
—
NJ
05
—
912181100
—
FL
05
—
HOS0164N
—
AL
Enumeration date
05/22/2006
Last updated
02/26/2024
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