Provider Demographics
NPI:1285075929
Name:FLINT RIVER COMMUNITY HOSPITAL, LLC
Entity type:Organization
Organization Name:FLINT RIVER COMMUNITY HOSPITAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEKKAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:866-727-4612
Mailing Address - Street 1:425 QUADRANGLE DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3412
Mailing Address - Country:US
Mailing Address - Phone:866-727-4612
Mailing Address - Fax:630-470-6092
Practice Address - Street 1:509 SUMTER ST
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:GA
Practice Address - Zip Code:31063-1733
Practice Address - Country:US
Practice Address - Phone:866-727-4612
Practice Address - Fax:630-470-6092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-10
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural