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Organization
CRISP REGIONAL HOSPITAL INC
Active
Organization
CRISP REGIONAL HOSPITAL INC
Active
Other names
Crisp Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RENEE BEARDEN (DIR REV INT)
(229) 276-3146
Entity
Organization
Contact information
Practice address
902 7TH ST NORTH, CORDELE, GA 31010
(229) 271-9686
(229) 271-9689
Mailing address
PO BOX 5007, CORDELE, GA 31015-5007
(229) 271-9686
(229) 271-9689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
040495
GA
282NR1301X
Rural Acute Care Hospital
040495
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000514A
—
GA
Enumeration date
02/22/2006
Last updated
12/08/2025
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