Rochelle Healthcare Clinic

LBN: Crisp Regional Hospital, Inc.
Rochelle Healthcare Clinic is an health care organization with primary practice located at 636 Second Avenue, Sw , Rochelle GA 31079. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Crisp Regional Hospital, Inc. can be contacted via phone (229) 365-2570, or through Miller, James via phone (229) 271-4676.

Contact Information

Primary practice address
636 Second Avenue, Sw Rochelle GA 31079
Phone: (229) 365-2570
Fax: (229) 365-2571
Website:
Map and Directions
Authorized official contact:
Name: Miller, James
Phone: (229) 271-4676

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Georgia

Profile Details

NPI number 1902013048
LBN Legal business name Crisp Regional Hospital, Inc.
DBA Doing business as Rochelle Healthcare Clinic
Authorized official Miller, James
Entity Organization
Organization subpart 1 Yes
Enumeration date May 17th, 2007
Last updated May 27th, 2008 - about 17 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 1902013048 NPPES
Georgia MEDICAID 00000514H

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