| Organization Name: | JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. |
| NPI Number: | 1114014669 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES D. HIGHTOWER (CFO) |
| Mailing Address: | 1034 South Pine Street Coolidge |
| State: | GA US |
| Postal Code: | 31738 |
| Phone Number: | 2293463511 |
| Fax Number: | 2293463512 |
| NPI Enumeration Date: | 10/06/2006 |
| NPI Last Update Date: | 05/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 136-91 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |