Organization
CRISP REGIONAL HOSPITAL INC
Active
Other names
Crisp Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RENEE BEARDEN (DIR REV INT)
(229) 276-3146
Entity
Organization
Contact information
Practice address
902 7TH ST NORTH, CORDELE, GA 31010
(229) 271-9686
(229) 271-9689
Mailing address
PO BOX 5007, CORDELE, GA 31015-5007
(229) 271-9686
(229) 271-9689
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
282N00000X
General Acute Care Hospital
Primary
040495
GA
282NR1301X
Rural Acute Care Hospital
040495
—
282NR1301X
Rural Acute Care Hospital
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000514A
—
GA
Enumeration date
02/22/2006
Last updated
12/08/2025
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