Organization Active NPI

Randall Crum Inc.

Doing business as The Sleep Disorders Center at Ft. Stewart Georgia

  • Sleep Disorder Diagnostic Clinic/Center
  • Hinesville, GA
National Provider Identifier
1497006720
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
RANDALL CRUM INC.
Doing business as
The Sleep Disorders Center at Ft. Stewart Georgia
Practice address
790 Veterans Pkwy
Suite 112 a-2
Hinesville, GA 31313-3915
Phone
(912) 368-3709
Fax
(912) 368-3710
NPI assigned
Sep 26, 2012
Last updated
Sep 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
RANDALL CRUM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Randall A Crum
Title
Director
Phone
(912) 927-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

790 Veterans Pkwy
Suite 112 a-2
Hinesville, GA 31313-3915

Mailing address

790 Veterans Parkway
Suite 112 a-2
Hinesville, GA 31310
Phone (912) 368-3709

Other names 1

  • The Sleep Disorders Center at Ft. Stewart Georgia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Randall a Crum Inc2 organizations share this tax ID, including this one
Part of
Randall a Crum Inc

Other organizations with this tax ID 1

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

Locations

790 Veterans Parkway
Ste 112
Hinesville, GA 31313
Phone (912) 368-3709

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1497006720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 VETERANS PARKWAY",
            "address_2": "SUITE 112 A-2",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "31310",
            "telephone_number": "912-368-3709",
            "fax_number": "912-368-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 VETERANS PKWY",
            "address_2": "SUITE 112 A-2",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133915",
            "telephone_number": "912-368-3709",
            "fax_number": "912-368-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL CRUM INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANDALL CRUM, INC.",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "CRUM",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-927-5141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Sleep Disorders Center at Ft. Stewart Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.