Organization
COFFEE REGIONAL MEDICAL CENTER, INC
Active
Other names
Coffee Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI LEWIS (PRESIDENT/CEO)
(912) 384-1900
Entity
Organization
Contact information
Practice address
1101 OCILLA ROAD, DOUGLAS, GA 31533-2207
(912) 384-1900
(912) 389-2112
Mailing address
P O BOX 1227, DOUGLAS, GA 31534-1227
(912) 384-1900
(912) 389-2112
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
034490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000448A
—
GA
Enumeration date
06/27/2006
Last updated
12/17/2014
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