Organization
BACCHUS OPERATIONS GROUP, INC.
Active
Organization
BACCHUS OPERATIONS GROUP, INC.
Active
Other names
FLINT RIVER COMMUNITY HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL C PATTERSON (CHIEF EXECUTIVE OFFICER)
(478) 472-3100
Entity
Organization
Contact information
Practice address
509 SUMTER ST, MONTEZUMA, GA 31063-1733
(478) 472-3100
(478) 472-3248
Mailing address
PO BOX 770, MONTEZUMA, GA 31063-2502
(478) 472-3100
(478) 472-3248
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
094-391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000149487F
—
GA
Enumeration date
12/12/2006
Last updated
06/10/2014
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