| NPI | 1396711099 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-02-23 |
| Last Updated | 2018-09-06 |
| Authorized Official | Lynn Bearden Revenue Integrity Director Phone: 2292763146 |
| Mailing Address | 902 Blackshear Rd Cordele, GA 31015-3665 United States Phone: (229) 271-9686 | Fax: (229) 271-9689 📍 View Map |
| Primary Practice Address | 902 Blackshear Rd Cordele, GA 31015 United States Phone: (229) 271-9686 | Fax: (229) 271-9689 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 000274128A | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
| Yes | 314000000X – Skilled Nursing Facility | GA | 040446 |
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About NPI 1396711099
Crisp Regional Hospital, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1396711099. The primary specialty listed is Skilled Nursing Facility. The organization is located in Cordele, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-02-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1396711099?
NPI 1396711099 belongs to Crisp Regional Hospital, Inc, a Skilled Nursing Facility in Cordele, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1396711099 active?
The current status of NPI 1396711099 in the NPPES registry is Active. The record was last updated on 2018-09-06.
What specialty is NPI 1396711099?
NPI 1396711099 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1396711099?
You can verify NPI 1396711099 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1396711099?
The primary practice address on file for NPI 1396711099 is 902 Blackshear Rd, Cordele, GA 31015. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1396711099 issued?
NPI 1396711099 was first issued (enumerated) on 2006-02-23. The NPPES record was last updated on 2018-09-06.
Practice Location Map
Crisp Regional Hospital, Inc is located at 902 Blackshear Rd, Cordele, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Crisp Regional Hospital, Inc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1396711099. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Skilled Nursing Facility | 040446 | GA |