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Contact Information

CRISP REGIONAL HOSPITAL
910 N 5TH ST
CORDELE, GA31015-3254
 Phone: 229-271-4600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Women

282NW0100X
Indicates primary specialty

NPI Profile & details for CRISP REGIONAL HOSPITAL

NPI Number 1790076966
LBN Legal business name CRISP REGIONAL HOSPITAL
Authorized official SAMANTHA BORELAND - (OBSTETRICIAN/GYNECOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/22/2011
Last updated 04/22/2011 - About 15 years ago
Identifiers
GA License # 65938
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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