Crisp Regional Hospital Pharmacy

Organization Active NPI General Acute Care Hospital · Cordele, GA

NPI 1194129924 · NPPES record last updated Sep 6, 2018

Key facts

NPI
1194129924
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
License
PHH003554 (GA)
Legal business name
CRISP REGIONAL HOSPITAL PHARMACY
Practice address
902 N 7TH St
Cordele, GA 31015
Phone
(229) 276-3386
Fax
(229) 276-3387
NPI assigned
Oct 22, 2014
Organization subpart
No

Authorized official

Name
Lynn Renee Bearden
Title
Director Rev Int
Phone
(229) 276-3146

Corporate family (same tax ID) 21

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Surgical Associates (22 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PHH003554 GA Yes
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

902 N 7TH St
Cordele, GA 31015

Mailing address

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3386

Other providers in Cordele, GA

All providers in Cordele, GA · General Acute Care Hospital in Georgia

Sources for this page

Verify at the official NPI Registry.