| Sumter Regional Hospital | |
|
72 S Broad St Ellaville GA 31806 | |
| (229) 937-5321 | |
| (229) 937-2232 |
| Full Name | Sumter Regional Hospital |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 72 S Broad St, Ellaville, Georgia |
| Authorized Official Name and Position | Troy David Hammett (VP FINANCE CFO) |
| Authorized Official Contact | 2299311280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sumter Regional Hospital Po Box 65 Americus GA 31719 Ph: (229) 924-6011 | Sumter Regional Hospital 72 S Broad St Ellaville GA 31806 Ph: (229) 937-5321 |
| NPI Number | 1477647824 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477647824 | NPI | - | NPPES |
| 00000019F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Georgia) | Primary |
Phoebe Sumter Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 339 S Broad St, Ellaville, GA 31806 Phone: 229-937-5321 Fax: 229-937-2232 | |
Careconnect Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 East Oglethorpe Street, Ellaville, GA 31806 Phone: 229-937-9003 Fax: 229-937-9007 | |
Sumter Regional Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 S. Broad St., Ellaville, GA 31806 Phone: 229-937-5321 Fax: 229-937-2232 | |
Southwest Ga Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 93 S Broad St, Ellaville, GA 31806 Phone: 229-410-9965 Fax: 229-937-9007 |