Crisp RGNL Hosp Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Hawkinsville, GA
NPI 1356547145 · NPPES record last updated Dec 18, 2007
Key facts
- NPI
- 1356547145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 10401446 (GA)
- Legal business name
- CRISP RGNL HOSP INC
- Practice address
- 440 Industrial Blvd
Hawkinsville, GA 31036 - Phone
- (478) 783-4988
- Fax
- (800) 342-7671
- NPI assigned
- Jun 27, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- CRISP REGIONAL HOSPITAL INC
Authorized official
- Name
- Mark Petermann
- Title
- Administrator
- Phone
- (229) 273-1481
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Surgical Associates
- Part of
- Surgical Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 10401446 | GA | Yes |
Addresses
Primary practice location
440 Industrial Blvd
Hawkinsville, GA 31036
Mailing address
PO Box 1033
Hawkinsville, GA 31036-7033
Phone (478) 783-4988
Other providers in Hawkinsville, GA
- Community Ancillary Services, Inc.
- Ethylene A Cook
- Covington Manor Nursing Home LLC
- Ben D Cravey Jr.
- Kelly C Cravey
- Holly Michele Cross
- Lindsey Cross
- Paige D Dawson
- Dca of Hawkinsville LLC
- Christina Marie Dokey
All providers in Hawkinsville, GA · Durable Medical Equipment & Medical Supplies in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.