| South Albany Medical Center | |
|
1300 Newton Rd Albany GA 31701-3424 | |
| (229) 431-3120 | |
| (229) 431-3345 |
| Full Name | South Albany Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 Newton Rd, Albany, Georgia |
| Authorized Official Name and Position | Shelley Spires (CEO) |
| Authorized Official Contact | 2298886559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South Albany Medical Center 1300 Newton Rd Albany GA 31701-3424 Ph: (229) 431-3120 | South Albany Medical Center 1300 Newton Rd Albany GA 31701-3424 Ph: (229) 431-3120 |
| NPI Number | 1023043692 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 10/15/2015 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20101021000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023043692 | NPI | - | NPPES |
| CK1476 | Other | GA | RR MEDICARE |
| 139632799A | Medicaid | GA | |
| CB1471 | Other | GA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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