Organization
MACON NORTHSIDE HOSPITAL, LLC
Active
Other names
Piedmont Macon North Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C CROSS (VP GOVERNMENT REIMBURSEMENT)
(470) 271-3401
Entity
Organization
Contact information
Practice address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-5992
(478) 757-5995
Mailing address
400 CHARTER BLVD, MACON, GA 31210-4831
(478) 757-5992
(478) 757-5995
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00295358A
—
GA
05
—
025706
—
MI
05
—
02718909
—
NY
05
—
141351CF
—
NY
01
—
166206700
DEPT OF LABOR
—
05
—
1729221
—
LA
01
—
3525
BLUE CROSS
GA
05
—
82604500
—
WI
05
—
911882900
—
FL
Enumeration date
05/18/2006
Last updated
02/26/2024
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