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COFFEE REGIONAL MEDICAL CENTER
NPI 1841504214
Ambulance in Douglas, GA

Active since July 28, 2010CLIA 11D0918504 · Waiver
523 BOWENS MILL RD SW, DOUGLAS, GA 31533(912) 384-1900(912) 389-2112 Get Directions Write a Review

NPPES record last updated: August 16, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Coffee Regional Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COFFEE REGIONAL MEDICAL CENTER (NPI 1841504214) is a healthcare organization registered as an ambulance in Douglas, Georgia and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Donald C Lewis, Vice-president/cfo, as its authorized official.

NPPES Registry Identity

NPI1841504214
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCOFFEE REGIONAL MEDICAL CENTER
Location Address523 BOWENS MILL RD SWDouglas, GA 31533-3930
Mailing AddressPo Box 1287Douglas, GA 31534-1287 · (912) 384-1900 · Fax (912) 389-2112
Phone(912) 384-1900
Fax(912) 389-2112
Organization SubpartNo
Authorized OfficialDonald C LewisVice-president/cfo · (912) 384-1900
Enumeration DateJuly 28, 2010
Last NPPES UpdateAugust 16, 2010
✔ NPI 1841504214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in GA · 0003443
Definition

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

523 BOWENS MILL RD SW, Douglas, GA 31533
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Other Identifiers 1

Medicaid000000448BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0918504

Coffee Regional First Care Rhc · Douglas, GA
Active · expires Aug 11, 2026
CLIA Number11D0918504
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDr. Jeffery Winge
Laboratory Phone(912) 384-1900
Laboratory LocationCoffee Regional First Care Rhc1301 S Peterson Suite B, Douglas, GA 31533
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is COFFEE REGIONAL MEDICAL CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1841504214, enumerated as an "organization" on July 28, 2010.

Where is the provider located?

The provider is located at 523 BOWENS MILL RD SW DOUGLAS, GA 31533 and the phone number is (912) 384-1900.

What is the provider's specialty?

Ambulance with taxonomy code 341600000X.

What insurance does COFFEE REGIONAL MEDICAL CENTER accept?

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.