| Organization Name: | THE MEDICAL CENTER OF PEACH COUNTY, INC |
| NPI Number: | 1114923406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA URBISTONDO (CFO) |
| Mailing Address: | 1960 Hwy 247 Connector Byron |
| State: | GA US |
| Postal Code: | 310085663 |
| Phone Number: | 4786542000 |
| Fax Number: | 4786542001 |
| NPI Enumeration Date: | 06/22/2005 |
| NPI Last Update Date: | 12/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 111-136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |