Organization
COLUMBIA POLK GENERAL HOSPITAL, INC.
Active
Other names
POLK MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TIM PRESTRIDGE (CFO)
(770) 748-8506
Entity
Organization
Contact information
Practice address
424 N MAIN ST, CEDARTOWN, GA 30125-2644
(770) 748-2500
(770) 749-9904
Mailing address
424 N MAIN ST, CEDARTOWN, GA 30125-2644
(770) 748-2500
(770) 749-9904
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3124
BLUE CROSS
GA
01
—
6851
BLUECARE
TN
Enumeration date
05/20/2006
Last updated
08/22/2020
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