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Organization

CRISP REGIONAL HOSPITAL, INC

Active
Parent organization
CRISP REGIONAL HOSPITAL, INC.
Other names
Arabi Healthcare Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRISP REGIONAL HOSPITAL, INC.
Authorized official
CHARLOTTE VESTAL (CHIEF FINANCIAL OFFICER)
(229) 276-3100
Entity
Organization

Contact information

Practice address
4110 BEDGOOD AVE, ARABI, GA 31712-3669
(229) 273-0116
(229) 273-4853
Mailing address
4110 BEDGOOD AVE, ARABI, GA 31712-3669
(229) 273-0116
(229) 273-4853

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000514G
GA
Enumeration date
05/16/2007
Last updated
06/23/2008
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