NPIMap

Organization Active NPI

Macon County Medical Center, Inc Dba Flint River Community Hospital

  • Rural Health Clinic/Center
  • Montezuma, GA
National Provider Identifier
1285961250
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MACON COUNTY MEDICAL CENTER, INC DBA FLINT RIVER COMMUNITY HOSPITAL
Practice address
502 Sumter St
Montezuma, GA 31063-1733
Phone
(478) 472-7429
Fax
(478) 472-5142
NPI assigned
Nov 11, 2009
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Frank Schupp, CEO
Title
Chief Executive Officer
Phone
(478) 472-3246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

502 Sumter St
Montezuma, GA 31063-1733

Mailing address

509 Sumter St
Montezuma, GA 31063-1733
Phone (478) 472-2321

Other names 1

  • Flint River Rural Health Clinic - Montezuma Other name

National Provider Directory

National Provider Directory
Tax ID family
Flint River Clinic at Reynolds4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1285961250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-2321",
            "fax_number": "478-472-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-7429",
            "fax_number": "478-472-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY MEDICAL CENTER, INC DBA FLINT RIVER COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "SCHUPP",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "478-472-3246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flint River Rural Health Clinic - Montezuma",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montezuma, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.