Crisp Regional Hospital, Inc.
Organization Active NPI Home Health Agency · Cordele, GA
NPI 1487822912 · NPPES record last updated Sep 6, 2018
Key facts
- NPI
- 1487822912
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 040R0003 (GA)
- Legal business name
- CRISP REGIONAL HOSPITAL, INC.
- Practice address
- 910 N 5TH St
Cordele, GA 31015 - Phone
- (229) 271-9686
- Fax
- (229) 271-9689
- NPI assigned
- Feb 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Lynn Renee Bearden
- Title
- Dir Rev Int
- Phone
- (229) 276-3146
Corporate family (same tax ID) 21
National Provider Directory
- Tax ID family
- Surgical Associates
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 040R0003 | GA | Yes |
Addresses
Primary practice location
910 N 5TH St
Cordele, GA 31015
Mailing address
910 N 5TH St
Cordele, GA 31015-3254
Phone (229) 271-9686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 760967211A | Medicaid | GA |
Other providers in Cordele, GA
- Crisp Regional Hospital, Inc
- Crisp Regional Hospital, Inc
- Crisp Regional Hospital, Inc.
- Crisp Regional Hospital, Inc.
- Crisp Regional Hospital, Inc.
- Crisp Regional Hospital, Inc.
- Vincent S Culpepper
- Diana Weaver Curtis
- Darryl a. Chapman, Sr. DMD
- David Kavtaradze MD Inc
All providers in Cordele, GA · Home Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2018. 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.