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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