Macon County Medical Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MACON COUNTY MEDICAL CENTER, INC

Practice address

80 West Main Street
Ste B
Butler, GA 31006-5156

Phone

(478) 862-3879

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Laurie Hair, CFO

Title

Chief Financial Officer

Phone

(478) 472-3244

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Flint River Clinic at Butler Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1164574885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WEST MAIN ST.",
            "address_2": "STE B",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "310065156",
            "telephone_number": "478-862-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WEST MAIN STREET",
            "address_2": "STE B",
            "city": "BUTLER",
            "state": "GA",
            "postal_code": "310065156",
            "telephone_number": "478-862-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HAIR",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "478-472-3244",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087221830A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint River Clinic at Butler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Butler, GA
• Providers in Butler, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.