Crisp Regional Hospice

LBN: Crisp Regional Hospital, Inc
Crisp Regional Hospice is an health care organization with primary practice located at 910 N 5Th St , Cordele GA 31015-3254. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Crisp Regional Hospital, Inc can be contacted via phone (229) 276-3100, or through Wilder, Susan Wade via phone (229) 276-3100.

Contact Information

Primary practice address
910 N 5Th St Cordele GA 31015-3254
Phone: (229) 276-3100
Fax: (229) 276-3297
Website:
Map and Directions
Authorized official contact:
Name: Wilder, Susan Wade
Phone: (229) 276-3100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 040063H Georgia

Profile Details

NPI number 1699740498
LBN Legal business name Crisp Regional Hospital, Inc
DBA Doing business as Crisp Regional Hospice
Authorized official Wilder, Susan Wade
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 12th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699740498 NPPES
Georgia MEDICAID 000784198A

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