John D. Archbold Memorial Hospital, INC.
Clinic/Center, Rural Health in Coolidge, GA. Organization (NPI-2).
NPI number1114014669
StatusActive
Last updated in NPPESMay 7, 2008
Details
- NPI
- 1114014669
- Entity type
- Organization (NPI-2)
- Legal business name
- John D. Archbold Memorial Hospital, INC.
- Organization subpart
- No
- Enumeration date
- Oct 6, 2006
- Last updated
- May 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | 136-91 | GA | Yes |
Other names
- Coolidge Primary Care Clinic (Doing Business As)
Practice location
1034 South Pine StreetCoolidge, GA 31738
Phone 229-346-3511 · Fax 229-346-3512
Mailing address
920 Cairo RdThomasville, GA 31792-4255
Phone 229-228-8800 · Fax 229-228-8892
Authorized official
Charles D. Hightower
Cfo
2292282853
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