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Organization

CRISP REGIONAL HOSPITAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN RENEE BEARDEN (DIR REV INT)
(229) 276-3146
Entity
Organization

Contact information

Practice address
910 N 5TH ST, CORDELE, GA 31015
(229) 271-9686
(229) 271-9689
Mailing address
910 N 5TH ST, CORDELE, GA 31015-3254
(229) 271-9686
(229) 271-9689

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
040R0003
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
760967211A
GA
Enumeration date
02/19/2008
Last updated
09/06/2018
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