Provider Demographics
NPI:1588351662
Name:THOMASVILLE REGIONAL MEDICAL CENTER, LLC
Entity type:Organization
Organization Name:THOMASVILLE REGIONAL MEDICAL CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-451-7839
Mailing Address - Street 1:300 MED PARK DR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36784-5760
Mailing Address - Country:US
Mailing Address - Phone:334-636-2525
Mailing Address - Fax:334-621-7111
Practice Address - Street 1:300 MED PARK DR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-5760
Practice Address - Country:US
Practice Address - Phone:334-636-2525
Practice Address - Fax:334-621-7111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THOMASVILLE REGIONAL MEDICAL CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-19
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit