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Organization

CRISP REGIONAL HOSPITAL, INC

Active
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Organization

CRISP REGIONAL HOSPITAL, INC

Active
Parent organization
CRISP REGIONAL HOSPITAL, INC
Other names
Crisp Regional Convenient Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
CRISP REGIONAL HOSPITAL, INC
Authorized official
JAMES W. MILLER (DIRECTOR PHYSICIAN PRACTICES)
(229) 271-4676
Entity
Organization

Contact information

Practice address
216 HOSPITAL DR, CORDELE, GA 31015-3275
(229) 271-9330
(229) 271-9245
Mailing address
216 HOSPITAL DR, CORDELE, GA 31015-3275
(229) 276-2000
(229) 276-2184

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11-8907
MCR CCN
GA
Enumeration date
05/16/2007
Last updated
03/11/2013
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