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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Disorder Diagnostic Clinic/Center
- 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, 2012
- Organization subpart
- Yes
- Parent organization
- RANDALL CRUM, INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Randall a Crum Inc
- 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.
-
dba Pooler Sleep Disorder Center
- Sleep Disorder Diagnostic Clinic/Center
- Pooler, GA
- NPI 1780934893
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.
-
dba The Sleep Disorders Center
- Clinical Medical Laboratory
- Savannah, GA
- NPI 1174663306
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.