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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