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CAH111331-00 MITCHELL COUNTY HOSPITAL (Active)
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Main Details
Name
MITCHELL COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH111331-00
Medicare Provider Number
111331
Additional Details
Current Program Status
Active
Registration Date
9/3/2010
Participating Start Date
9/16/2010
Participating Approval Date
9/3/2010
Last Recertification Date
8/17/2024
Contacts
Authorizing Official
John D. Archbold Memorial Hospital
Greg S. Hembree, CFO
(229) 228-2853
Primary Contact
John D. Archbold Memorial Hospital
Chris Newman, Vice President, Clinical and Support Services
(229) 228-2771
Addresses
Street Address
90 E STEPHENS ST
CAMILLA, GA 31730
Billing Address
MITCHELL COUNTY HOSPITAL
920 CAIRO ROAD
THOMASVILLE, GA 31792
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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