| Tift Regional Health System, Inc. | |
|
260 Mj Taylor Rd Adel GA 31620-3485 | |
| (229) 896-8000 | |
| (229) 896-8001 |
| Full Name | Tift Regional Health System, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 260 Mj Taylor Rd, Adel, Georgia |
| Authorized Official Name and Position | Christopher Dorman (PRESIDENT/CEO) |
| Authorized Official Contact | 2293536104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tift Regional Health System, Inc. 260 Mj Taylor Rd Adel GA 31620-3485 Ph: (229) 896-8000 | Tift Regional Health System, Inc. 260 Mj Taylor Rd Adel GA 31620-3485 Ph: (229) 896-8000 |
| NPI Number | 1043514417 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Medicare PECOS PAC ID | 2062745169 |
|---|---|
| Medicare Enrollment ID | O20191211000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043514417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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