CRISP REGIONAL HOSPITAL, INC. (NPI# 1902013048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902013048 |
| Entity Type | Organization |
| Organization Name | CRISP REGIONAL HOSPITAL, INC. |
| Other Organization Name | ROCHELLE HEALTHCARE CLINIC |
| Practice Address |
636 Second Avenue, Sw Rochelle GA 31079 |
| Practice Telephone | 2293652570 |
| Practice Fax Number | 2293652571 |
| Mailing Telephone | 2293652570 |
| Mailing Fax Number | 2293652571 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | JAMES MILLER (DIRECTOR PHYSICIAN PRACTICES) |
| Authorized Official Telephone | 2292714676 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRISP REGIONAL HOSPITAL, INC. |
| 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 | 00000514H | 05 |
| Other Name | Type Code |
|---|---|
| Rochelle Healthcare Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790992352 | Crisp Regional Hospital, Inc. | Clinic/Center | 135 Dogwood St Sw, Warwick, GA 31796-5568 | 2007-05-16 |
| 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 |
636 SECOND AVENUE, SW |
| City | ROCHELLE |
| State | GA |
| Zip Code | 31079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952446213 | Rochelle Drug Company | Pharmacy | 600 Second Ave., Rochelle, GA 31079 | 2007-02-21 |
| 1700921608 | Michael D Miller | Pharmacist | 600 Second Ave, Rochelle, GA 31079 | 2007-02-20 |
| 1659435303 | Wilcox County Ems | Ambulance | 410 Stephens Street, Wilcox County E.m.s., Rochelle, GA 31079 | 2006-12-20 |
| 1548338932 | Wilcox County Health Department | Public Health or Welfare | 1001 Second Street, Rochelle, GA 31079 | 2006-12-01 |
| 1467483081 | James Hank Cook | Dentist | 615 Second Avenue, Rochelle, GA 31079 | 2006-07-05 |
| 1437303567 | Rochelle Dental | Dentist | 615 Second Avenue, Rochelle, GA 31079 | 2008-11-17 |
| 1356376768 | Leah M Cook | Dentist | 615 Second Avenue, Rochelle, GA 31079 | 2006-07-12 |
| 1750630588 | Taylor Regional Hospital | Podiatrist | 792 1st Ave, Rochelle, GA 31079-2018 | 2012-09-07 |
| 1275036568 | Taylor Regional Hospital | Pediatrics | 792 1st Ave, Rochelle, GA 31079-2018 | 2018-03-13 |
| 1306194576 | Karen Lynn Lewis | Nurse Practitioner | 636 2nd Ave, Rochelle, GA 31079-2046 | 2012-08-20 |
| Find all providers in zip 31079 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851831143 | Rochelle Community Hospital Association | Clinic/Center | 900 N 2nd St, Suite 200, Rochelle, IL 61068-1764 | 2017-03-06 |
| 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.