TIFT REGIONAL HEALTH SYSTEM INC NPI 1548315898

NPI Information

NPI: 1548315898
Provider Name: TIFT REGIONAL HEALTH SYSTEM, INC

Doing Business As: SOUTHWELL MEDICAL

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

Address:
260 MJ TAYLOR RD
ADEL, GA
ZIP 31620
Phone: (229) 896-8000
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TIFT REGIONAL HEALTH SYSTEM, INC is a medicare defined swing bed unit in Adel, GA. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. TIFT REGIONAL HEALTH SYSTEM, INC NPI is 1548315898. The provider is registered as an organization entity type.
The provider Is Doing Business As Southwell Medical.

The provider's business location address is:

260 MJ TAYLOR RD
ADEL, GA
ZIP 31620-485
Phone: (229) 896-8000

The provider's authorized official is Christopher Dorman .
The authorized official title is President/ceo and has the following contact phone number (229) 353-6104.

The CLIA number assigned to this NPI record is 11D2168737 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 6/24/2022.

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	275N00000X	Medicare Defined Swing Bed Unit		037-597	GEORGIA	Yes

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	00001251S	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

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