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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