Organization
CRISP REGIONAL HOSPITAL, INC
Active
Other names
Cordele Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RENEE BEARDEN (REVENUE INTEGRITY DIRECTOR)
(229) 276-3146
Entity
Organization
Contact information
Practice address
1106 N 4TH ST, CORDELE, GA 31015
(229) 273-1227
(229) 273-0930
Mailing address
1106 N 4TH ST, CORDELE, GA 31015-3679
(229) 273-1227
(229) 273-0930
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10401794
GA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00059892A
—
GA
Enumeration date
08/19/2013
Last updated
09/06/2018
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