| Organization Name: | FLINT RIVER COMMUNITY HOSPITAL, LLC |
| NPI Number: | 1285075929 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NAVEEN BEKKAM (PRESIDENT) |
| Mailing Address: | 509 Sumter St Montezuma |
| State: | GA US |
| Postal Code: | 310631733 |
| Phone Number: | 8667274612 |
| Fax Number: | 6304706092 |
| NPI Enumeration Date: | 07/10/2013 |
| NPI Last Update Date: | 07/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NR1301X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Rural |
| Taxonomy Definition: | |