# CRISP REGIONAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CareSouth an Affiliate of Crisp Regional Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376518118
- **Authorized official:** LYNN RENEE BEARDEN (DIR REV INT)
- **Authorized official phone:** (229) 276-3146

## Contact information

- **Practice address:** 906 N 5TH ST, SUITE F6, CORDELE, GA 31015
- **Practice address phone:** (229) 271-4690
- **Practice address fax:** (229) 271-4694
- **Mailing address:** 906 N 5TH ST, SUITE F6, CORDELE, GA 31015-3200
- **Mailing address phone:** (229) 271-4690
- **Mailing address fax:** (229) 271-4694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 040175 | GA | Yes |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 09/06/2018