Provider Demographics
NPI:1104130749
Name:THE MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:THE MEDICAL CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR. VICE PRESIDENT/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:THACKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-571-1200
Mailing Address - Street 1:500 18TH ST
Mailing Address - Street 2:SUITE B-30
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1536
Mailing Address - Country:US
Mailing Address - Phone:706-321-3765
Mailing Address - Fax:
Practice Address - Street 1:500 18TH ST
Practice Address - Street 2:SUITE B-30
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1536
Practice Address - Country:US
Practice Address - Phone:706-321-3765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center