Southwell Medical Community Health Center

LBN: Tift Regional Health System Inc.
Southwell Medical Community Health Center is an health care organization with primary practice located at 2735 Central Ave S , Tifton GA 31794-5645. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Tift Regional Health System Inc. can be contacted via phone (229) 388-5690, or through Dorman, Christopher via phone (229) 353-6104.

Contact Information

Primary practice address
2735 Central Ave S Tifton GA 31794-5645
Phone: (229) 388-5690
Fax: (229) 388-5685
Website:
Map and Directions
Authorized official contact:
Name: Dorman, Christopher
Phone: (229) 353-6104

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1649800111
LBN Legal business name Tift Regional Health System Inc.
DBA Doing business as Southwell Medical Community Health Center
Authorized official Dorman, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2020
Last updated Jun 24th, 2022 - about 4 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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