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Contact Information

CRISP REGIONAL HOSPITAL, INC.
910 N 5TH ST
CORDELE, GA31015
 Phone: 229-271-9686
 Fax: 229-271-9689
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CRISP REGIONAL HOSPITAL, INC.

NPI # 1487822912
LBN Legal business name CRISP REGIONAL HOSPITAL, INC.
Authorized official LYNN BEARDEN - (DIR REV INT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2008
Last updated 09/06/2018 - About 8 years ago
Identifiers
GA License # 040R0003
GA Medicaid 760967211A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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