Organization
CRISP RGNL HOSP INC
Active
Organization
CRISP RGNL HOSP INC
Active
Parent organization
CRISP REGIONAL HOSPITAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CRISP REGIONAL HOSPITAL INC
Authorized official
MARK PETERMANN (ADMINISTRATOR)
(229) 273-1481
Entity
Organization
Contact information
Practice address
440 INDUSTRIAL BLVD, HAWKINSVILLE, GA 31036
(478) 783-4988
(800) 342-7671
Mailing address
PO BOX 1033, HAWKINSVILLE, GA 31036-7033
(478) 783-4988
(800) 342-7671
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10401446
GA
Other
Enumeration date
06/27/2007
Last updated
12/18/2007
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