CRISP REGIONAL HOSPITAL INC (NPI# 1700851649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700851649 |
| Entity Type | Organization |
| Organization Name | CRISP REGIONAL HOSPITAL INC |
| Other Organization Name | CRISP REGIONAL HOSPITAL |
| Practice Address |
902 7th St North Cordele GA 31010 |
| Mailing Address |
Po Box 5007 Cordele GA 31015-5007 |
| Practice Telephone | 2292719686 |
| Practice Fax Number | 2292719689 |
| Mailing Telephone | 2292719686 |
| Mailing Fax Number | 2292719689 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | LYNN RENEE BEARDEN (DIR REV INT) |
| Authorized Official Telephone | 2292763146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
Hospitals | ||
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
040495 | Hospitals | |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 282N00000X | General Acute Care Hospital | 040495 | GA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000000514A | 05 |
| Other Name | Type Code |
|---|---|
| Crisp Regional Hospital | Doing Business As Name - Organization |
| Street Address |
902 7TH ST NORTH |
| City | CORDELE |
| State | GA |
| Zip Code | 31010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649444993 | Professional Vision Services Inc | Optometrist | 115 7th St, Cordele, GA 31010 | 2008-04-17 |
| 1265519375 | Joseph Lee Boland Jr. | Dentist | 1673 Wesleyan Drive, Suite D, Macon, GA 31010 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301701 | John Bridges | Nurse Practitioner | 170 Old Blackshear Rd, Cordele, GA 31015-9602 | 2020-09-17 |
| 1295349314 | Meketa Hunter Jones | Counselor | 309 W 26th Ave, Cordele, GA 31015-3850 | 2020-09-04 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1114544384 | Charles Jones | Contractor | 1709 S 13th St, Cordele, GA 31015-4175 | 2020-07-02 |
| 1932748894 | Haley Ellis Pullen | Nurse Practitioner | 602 E 16th Ave # Ab, Cordele, GA 31015-1776 | 2019-12-24 |
| 1518502384 | True Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 3002 Frontage Rd, Cordele, GA 31015-2299 | 2019-11-15 |
| 1215572144 | Southern Home Care Services, Inc. | Home Health | 515 E 3rd Ave, Cordele, GA 31015-3608 | 2019-11-14 |
| 1255975280 | Kenya Lavette Fields | Nurse Practitioner | 911 E 24th Ave, Cordele, GA 31015-2108 | 2019-11-02 |
| 1568003481 | Regional Health Group Inc | Durable Medical Equipment & Medical Supplies | 316 E 16th Ave Ste B1, Cordele, GA 31015-1210 | 2019-10-02 |
| Find all providers in CORDELE | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902459316 | Au Medical Center, Inc | General Acute Care Hospital | 1348 Walton Way Ste 6300c, Augusta, GA 30901-5104 | 2019-07-24 |
| 1841651056 | Kamran Rajaee | General Acute Care Hospital | 5081 Sunset Trl, Marietta, GA 30068-4734 | 2016-03-15 |
| 1144687070 | Globale, LLC | General Acute Care Hospital | 750 Dalrymple Rd Apt B2, Atlanta, GA 30328-1434 | 2016-01-22 |
| 1649645011 | Clarence Waugh | General Acute Care Hospital | 171 Sterling Ridge Dr, Riverdale, GA 30274-4637 | 2015-12-09 |
| 1548632045 | Allbright Professional Blood Services | General Acute Care Hospital | 1043 River Forest Pt, Lawrenceville, GA 30045-2600 | 2015-10-22 |
| 1790173094 | Piedmont Healthcare | General Acute Care Hospital | 2124 Mckinley Rd Nw, Atlanta, GA 30318-1708 | 2015-01-08 |
| 1790183622 | Pauline L. Jacinto Md | General Acute Care Hospital | 104 Lakeshore Dr Ste B, Saint Marys, GA 31558-3809 | 2014-12-09 |
| 1073937892 | Emory University Hospital | General Acute Care Hospital | 5207 Peachtree Creek Cir, Atlanta, GA 30341-5364 | 2014-02-13 |
| 1063856706 | Keystone Surgical Associates | General Acute Care Hospital | 2525 Kirk Pointe Cv Nw, Kennesaw, GA 30152-6239 | 2013-04-24 |
| 1679810022 | Proficiency Scribes Cs, LLC | General Acute Care Hospital | 114 Bradley Rd, Jackson, GA 30233-3702 | 2013-01-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.