| Organization Name: | MACON COUNTY MEDICAL CENTER, INC DBA FLINT RIVER COMMUNITY HOSPITAL |
| NPI Number: | 1285961250 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK SCHUPP (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 502 Sumter St Montezuma |
| State: | GA US |
| Postal Code: | 310631733 |
| Phone Number: | 4784727429 |
| Fax Number: | 4784725142 |
| NPI Enumeration Date: | 11/11/2009 |
| NPI Last Update Date: | 03/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |