MACON COUNTY MEDICAL CENTER NPI 1336373208

NPI Information

NPI: 1336373208
Provider Name: MACON COUNTY MEDICAL CENTER

Other Name: FLINT RIVER CLINIC AT REYNOLDS

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
11 NORTH WINSTON STREET
REYNOLDS, GA
ZIP 31076
Phone: (478) 472-3246
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MACON COUNTY MEDICAL CENTER is an adult day care clinic center in Reynolds, GA. MACON COUNTY MEDICAL CENTER NPI is 1336373208. The provider is registered as an organization entity type.
The provider Other Name Is Flint River Clinic At Reynolds.

The provider's business location address is:

11 NORTH WINSTON STREET
REYNOLDS, GA
ZIP 31076
Phone: (478) 472-3246
Fax: (478) 472-2412

The provider's authorized official is Laurie A Hair .
The authorized official title is Ceo and has the following contact phone number (478) 472-3246.

The CLIA number assigned to this NPI record is 11D0673460 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/7/2009 and was last updated on 5/7/2009.

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
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

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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