# CRISP REGIONAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crisp Regional Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700851649
- **Authorized official:** LYNN RENEE BEARDEN (DIR REV INT)
- **Authorized official phone:** (229) 276-3146

## Contact information

- **Practice address:** 902 7TH ST NORTH, CORDELE, GA 31010
- **Practice address phone:** (229) 271-9686
- **Practice address fax:** (229) 271-9689
- **Mailing address:** PO BOX 5007, CORDELE, GA 31015-5007
- **Mailing address phone:** (229) 271-9686
- **Mailing address fax:** (229) 271-9689

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 282N00000X | General Acute Care Hospital | 040495 | GA | Yes |
| 282NR1301X | Rural Acute Care Hospital | 040495 | — | — |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |

## Other

- **Enumeration date:** 02/22/2006
- **Last updated:** 12/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000000514A | — | GA |