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WEST CENTRAL GEORGIA REGIONAL HOSPITAL NPI 1548312358


NPI Information

NPI: 1548312358
Provider Name: WEST CENTRAL GEORGIA REGIONAL HOSPITAL

Doing Business As: BRIDGEWAY CHILD AND ADOLESCENT CRISIS STABILIZATION PROGRAM

Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

CLIA Number: 11D0646199

Address:
3000 SCHATULGA RD
COLUMBUS, GA
ZIP 31907
Phone: (706) 568-5223
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WEST CENTRAL GEORGIA REGIONAL HOSPITAL is an adolescent and children mental health clinic center in Columbus, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. WEST CENTRAL GEORGIA REGIONAL HOSPITAL NPI is 1548312358. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridgeway Child And Adolescent Crisis Stabilization Program.

The provider's business location address is:

3000 SCHATULGA RD
COLUMBUS, GA
ZIP 31907-117
Phone: (706) 568-5223

The provider's authorized official is Rick Garcia .
The authorized official title is Service Director and has the following contact phone number (706) 568-5118.

The CLIA number assigned to this NPI record is 11D0646199 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 6/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNONEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERGEORGIATAX ID #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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