MEDICARE: UNIVERSITY MCDUFFIE COUNTY REGIONAL 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	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982600540
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY MCDUFFIE COUNTY REGIONAL MEDICAL CENTER, INC.

Provider Business Mailing Address
First Line	:	2460 WASHINGTON RD
Second Line	:
City	:	THOMSON
State	:	GA
Zip	:	30824-6600
Country	:	US
Telephone Number	:	706-597-5201
Fax Number	:	706-597-5139

Provider Business Practice Location Address
First Line	:	2460 WASHINGTON RD
Second Line	:
City	:	THOMSON
State	:	GA
Zip	:	30824-6600
Country	:	US
Telephone Number	:	706-597-5201
Fax Number	:	706-597-5139

Authorized Official
Title or Position	:	VP, GOVERNMENT REIMBURSEMENT
Name	:	MR. ROBERT C CROSS
Credential	:
Telephone Number	:	470-271-3401

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	02/26/2024

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