Southern Regional Medical Center

LBN: Southern Regional Health System, Inc
Southern Regional Medical Center is an health care organization with primary practice located at 11 Upper Riverdale Rd Sw , Riverdale GA 30274-2615. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Southern Regional Health System, Inc can be contacted via phone (770) 991-8000, or through Mclain, John R via phone (770) 991-8000.

Contact Information

Primary practice address
11 Upper Riverdale Rd Sw Riverdale GA 30274-2615
Phone: (770) 991-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mclain, John R
Phone: (770) 991-8000

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 031-442 Georgia

Profile Details

NPI number 1831190958
LBN Legal business name Southern Regional Health System, Inc
DBA Doing business as Southern Regional Medical Center
Authorized official Mclain, John R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 25th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831190958 NPPES
Georgia MEDICAID 00000404A

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