Organization
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Active
Organization
DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Active
Other names
West Central Georgia Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L ROBERTSON (REGIONAL HOSPITAL ADMINISTRATOR)
(706) 568-5207
Entity
Organization
Contact information
Practice address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3117
(706) 568-5207
Mailing address
3000 SCHATULGA RD, COLUMBUS, GA 31907-3117
(706) 568-5207
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PERMIT # 106-291
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106-291
STATE PERMIT #
GA
Enumeration date
05/13/2009
Last updated
06/01/2011
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