| Archbold Northside | |
|
401 Old Albany Rd Thomasville GA 31792-4014 | |
| (229) 228-8100 | |
| Not Available |
| Full Name | Archbold Northside |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 401 Old Albany Rd, Thomasville, Georgia |
| Authorized Official Name and Position | Gregory S. Hembree (CFO) |
| Authorized Official Contact | 2292282880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Archbold Northside 920 Cairo Rd Thomasville GA 31792-4255 Ph: (229) 228-8800 | Archbold Northside 401 Old Albany Rd Thomasville GA 31792-4014 Ph: (229) 228-8100 |
| NPI Number | 1730123431 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 03/03/2017 |
| Medicare PECOS PAC ID | 4981502622 |
|---|---|
| Medicare Enrollment ID | O20070628000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730123431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 136-91 (Georgia) | Primary |
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