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Contact Information

CRISP REGIONAL HOSPITAL, INC
1106 N 4TH ST
CORDELE, GA31015
 Phone: 229-273-1227
 Fax: 229-273-0930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CRISP REGIONAL HOSPITAL, INC

NPI # 1164855755
LBN Legal business name CRISP REGIONAL HOSPITAL, INC
Authorized official LYNN BEARDEN - (REVENUE INTEGRITY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2013
Last updated 09/06/2018 - About 8 years ago
Identifiers
GA License # 10401794
GA Medicaid 00059892A
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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