Organization
JASPER HEALTH SERVICES, INC.
Active
Organization
JASPER HEALTH SERVICES, INC.
Active
Other names
Jasper Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CUMBIE PHARMD (CEO)
(706) 468-4595
Entity
Organization
Contact information
Practice address
898 COLLEGE ST, MONTICELLO, GA 31064-1261
(706) 468-6411
(706) 468-9880
Mailing address
898 COLLEGE ST, MONTICELLO, GA 31064-1261
(706) 468-6411
(706) 468-9880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
043094
GA
207R00000X
Internal Medicine Physician
058023
GA
282NC0060X
Critical Access Hospital
Primary
079-592
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000998A
—
GA
01
—
CH9580
RAILROAD MEDICARE
GA
Enumeration date
05/30/2005
Last updated
10/25/2023
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