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Organization

COLISEUM MEDICAL CENTER, LLC

Active
Find providers by NPI
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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