MEDICARE: POLK MEDICAL CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital

General Provider Information

NPI Number	:	1073927117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLK MEDICAL CENTER, INC

Provider Business Mailing Address
First Line	:	420 E 2ND AVE
Second Line	:	SUITE 103
City	:	ROME
State	:	GA
Zip	:	30161-3209
Country	:	US
Telephone Number	:	706-509-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2360 ROCKMART HWY
Second Line	:
City	:	CEDARTOWN
State	:	GA
Zip	:	30125-6029
Country	:	US
Telephone Number	:	770-748-2500
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KURT STUENKEL
Credential	:
Telephone Number	:	706-509-6900

Provider Enumeration Date	:	06/17/2014
Last Update Date	:	09/29/2025

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