CRISP REGIONAL HOSPITAL, INC. (NPI# 1790992352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790992352 |
| Entity Type | Organization |
| Organization Name | CRISP REGIONAL HOSPITAL, INC. |
| Other Organization Name | WARWICK HEALTH CARE CLINIC |
| Practice Address |
135 Dogwood St Sw Warwick GA 31796-5568 |
| Practice Telephone | 2295354567 |
| Practice Fax Number | 2295356556 |
| Mailing Telephone | 2295354567 |
| Mailing Fax Number | 2295356556 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-06-12 |
| Authorized Official Name | JAMES W. MILLER (DIRECTOR PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 2292714676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00000514F | 05 |
| Other Name | Type Code |
|---|---|
| Warwick Health Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902013048 | Crisp Regional Hospital, Inc. | Clinic/Center | 636 Second Avenue, Sw, Rochelle, GA 31079 | 2007-05-17 |
| 1376518118 | Crisp Regional Hospital, Inc. | Home Health | 906 N 5th St, Suite F6, Cordele, GA 31015 | 2006-02-22 |
| 1487822912 | Crisp Regional Hospital, Inc. | Home Health | 910 N 5th St, Cordele, GA 31015 | 2008-02-19 |
| Street Address |
135 DOGWOOD ST SW |
| City | WARWICK |
| State | GA |
| Zip Code | 31796-5568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437121159 | Patricia Anne Stowe | Nurse Practitioner | 135 Dogwood St W, Warwick, GA 31796 | 2006-02-06 |
| 1710950670 | Ernest M Jones | Family Medicine | 135 Dogwood St W, Warwick, GA 31796 | 2006-02-10 |
| 1710031315 | Cliff C. Hilliard | Pharmacist | 141 Dogwood St Sw, Warwick, GA 31796-5568 | 2007-01-22 |
| 1760528376 | Warwick Drugs, Inc | Pharmacy | 141 Dogwood St Sw, Warwick, GA 31796-5568 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063493 | Stephanie Lanzi | Counselor | 120 Lavan St Ste 1, Warwick, RI 02888-1025 | 2020-11-06 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| 1093315822 | Frederick Mcfeeters | Occupational Therapy Assistant | 140 Hamilton Ave, Warwick, RI 02886-9612 | 2020-10-30 |
| 1790382414 | Patrick C Heap | Counselor | 75 Lambert Lind Hwy Ste 120, Warwick, RI 02886-1163 | 2020-10-06 |
| 1588271738 | Tracy Anne Mckenna | Physical Therapist | 236 Crestwood Rd, Warwick, RI 02886-9437 | 2020-09-30 |
| 1720695661 | Andrade Adult Day Care Inc. | Clinic/Center | 1755 Bald Hill Rd, Warwick, RI 02886-4266 | 2020-09-24 |
| 1265047492 | Catherine E Mccaffrey | Social Worker | 300 Toll Gate Rd Ste 101c, Warwick, RI 02886-4448 | 2020-09-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1770197782 | Mary Shiel-l'esperance | Physical Therapist | 11 Knight St Bldg F22, Warwick, RI 02886-1281 | 2020-09-08 |
| 1902419799 | Shanna Lyn Spiro | Counselor | 10 Oakland Ave Ste 2-4, Warwick, NY 10990-1515 | 2020-08-31 |
| Find all providers in WARWICK | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
| 1518398049 | Norman Park Family Medicine Clinic | Clinic/Center | 139 East Broad Street, Norman Park, GA 31771 | 2013-12-10 |
| 1992147573 | Doerun Family Medicine Clinic | Clinic/Center | 128 West Broad Ave, Doerun, GA 31744 | 2013-07-23 |
| 1366784415 | Emanuel County Hospital Authority | Clinic/Center | 131a Victory Dr, Swainsboro, GA 30401-3234 | 2013-03-26 |
| 1306114004 | Lower Oconee Community Hospital, Inc | Clinic/Center | 421 W Robinson Dr, Mount Vernon, GA 30445-2935 | 2011-12-08 |
| 1013248962 | Southern Health Corp of Ellijay | Clinic/Center | 60 Old Highway 5 South, Ellijay, GA 30540-5436 | 2010-01-15 |
| 1427384353 | Union County Hospital Authority | Clinic/Center | 103 Church St Ste A, Hiawassee, GA 30546-3223 | 2009-10-28 |
| 1346574084 | Durall Capital Holdings, LLC | Clinic/Center | 59 Tipton Drive, Dahlonega, GA 30533 | 2009-09-29 |
| 1215260617 | Durall Capital Holdings, LLC | Clinic/Center | 35 Lumpkin Campground Road N, Dawsonville, GA 30534 | 2009-09-16 |
| 1376778001 | Phoebe Sumter Medical Center, Inc | Clinic/Center | 339 S Broad St, Ellaville, GA 31806-3304 | 2009-05-26 |
| 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.