Organization Name: | THE MEDICAL CENTER OF PEACH COUNTY, INC |
NPI Number: | 1477677698 |
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: | 03/16/2007 |
NPI Last Update Date: | 12/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 11Z310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |