| Colquitt Regional Medical Center | |
|
3131 S Main St Moultrie GA 31768-6925 | |
| (229) 985-3420 | |
| Not Available |
| Full Name | Colquitt Regional Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 3131 S Main St, Moultrie, Georgia |
| Authorized Official Name and Position | Jim Matney (CEO) |
| Authorized Official Contact | 2298903570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colquitt Regional Medical Center Po Box 40 Moultrie GA 31776-0040 Ph: (229) 891-9164 | Colquitt Regional Medical Center 3131 S Main St Moultrie GA 31768-6925 Ph: (229) 985-3420 |
| NPI Number | 1982295036 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Medicare PECOS PAC ID | 6204821796 |
|---|---|
| Medicare Enrollment ID | O20230127001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982295036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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