Organization
COLISEUM MEDICAL CENTER, LLC
Active
Parent organization
COLISEUM MEDICAL CENTER, LLC
Other names
Piedmont Macon Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLISEUM MEDICAL CENTER, LLC
Authorized official
ROBERT C CROSS (VP GOVERNMENT REIMBURSEMENT)
(470) 271-3401
Entity
Organization
Contact information
Practice address
340 HOSPITAL DRIVE, MACON, GA 31217
(478) 741-1355
(478) 742-1247
Mailing address
340 HOSPITAL DRIVE, MACON, GA 31217-3838
(478) 741-1355
(478) 742-1247
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166206000
DEPT OF LABOR
—
01
—
3521
BLUE CROSS
GA
Enumeration date
05/22/2006
Last updated
02/26/2024
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