Upson Regional Medical Center | |
801 W Gordon St Thomaston GA 30286-3426 | |
(706) 647-8111 | |
(706) 647-4389 |
Full Name | Upson Regional Medical Center |
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Speciality | General Acute Care Hospital |
Location | 801 W Gordon St, Thomaston, Georgia |
Authorized Official Name and Position | Jeffrey Tarrant (CEO) |
Authorized Official Contact | 7066478111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upson Regional Medical Center Po Box 1059 Thomaston GA 30286-0027 Ph: (706) 647-8111 | Upson Regional Medical Center 801 W Gordon St Thomaston GA 30286-3426 Ph: (706) 647-8111 |
NPI Number | 1659376630 |
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Provider Enumeration Date | 06/16/2005 |
Last Update Date | 07/17/2020 |
Certification Date | 07/17/2020 |
Medicare PECOS PAC ID | 8729075536 |
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Medicare Enrollment ID | O20071221000151 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659376630 | NPI | - | NPPES |
000001988B | Medicaid | GA | |
000450 | Other | GA | BLUE CROSS |
000001988A | Medicaid | GA | |
000001988S | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 145-415 (Georgia) | Secondary |
282N00000X | General Acute Care Hospital | 145 415 (Georgia) | Primary |
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