Organization Name: | MILLER COUNTY HOSPITAL AND MILLER NURSING HOME |
NPI Number: | 1619029295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS MEADOWS (CEO) |
Mailing Address: | 210 W Main St Suite 4 Colquitt |
State: | GA US |
Postal Code: | 398373434 |
Phone Number: | 2297585185 |
Fax Number: | 2297583746 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 01/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 100118 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |