| Houston Medical Center | |
|
1601 Watson Blvd Warner Robins GA 31093 | |
| (478) 922-4281 | |
| (478) 322-5174 |
| Full Name | Houston Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1601 Watson Blvd, Warner Robins, Georgia |
| Authorized Official Name and Position | Sean Whilden (CFO) |
| Authorized Official Contact | 4783524306 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Medical Center 1601 Watson Blvd Warner Robins GA 31093 Ph: (478) 922-4281 | Houston Medical Center 1601 Watson Blvd Warner Robins GA 31093 Ph: (478) 922-4281 |
| NPI Number | 1962435792 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 9234029729 |
|---|---|
| Medicare Enrollment ID | O20040318000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962435792 | NPI | - | NPPES |
| 000000976A | Medicaid | GA | |
| 222 | Other | GA | BLUE CROSS PROV NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 076-656 (Georgia) | Secondary |
| 282N00000X | General Acute Care Hospital | 076-656 (Georgia) | Primary |
| Provider Name | Ferial Walid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750486742 PECOS PAC ID: 6103867205 Enrollment ID: I20050519000127 |
| Provider Name | James Oliviere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891977146 PECOS PAC ID: 9537247143 Enrollment ID: I20080423000248 |
| Provider Name | Richard Lyndon Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023043130 PECOS PAC ID: 2668642349 Enrollment ID: I20110907001426 |
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