Coffee Regional First Care

LBN: Coffee Regional Medical Center, Inc
Coffee Regional First Care is an health care organization with primary practice located at 1301 Peterson Ave S Ste B, Douglas GA 31533-2327. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Coffee Regional Medical Center, Inc can be contacted via phone (912) 383-6966, or through Lewis, Vicki via phone (912) 384-1900.

Contact Information

Primary practice address
1301 Peterson Ave S Ste B Douglas GA 31533-2327
Phone: (912) 383-6966
Fax: (912) 383-5667
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Vicki
Phone: (912) 384-1900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1639211956
LBN Legal business name Coffee Regional Medical Center, Inc
DBA Doing business as Coffee Regional First Care
Authorized official Lewis, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Sep 23rd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639211956 NPPES
Georgia MEDICAID 00000448D

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