Organization · Type 2 NPI

Crisp Regional Hospital, Inc

Rural Health Clinic/Center · Arabi, GA

NPI number 1114134772 Active

Practice location

4110 Bedgood Ave
Arabi, GA 31712-3669

Fax (229) 273-4853

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Melanie Vickery Stanley, PACMedical Physician Assistant Arabi, GA NPI 1356314157

NPI record

NPI: 1114134772
Entity type: Organization (Type 2)
Issued: May 16, 2007
Last updated: Jun 23, 2008
Status: Active
Subpart: Yes of Crisp Regional Hospital, Inc.

Other names

<unavail>
Arabi Healthcare Clinic · doing business as

Authorized official

Charlotte Vestal
Chief Financial Officer
(229) 276-3100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114134772

Crisp Regional Hospital, Inc's National Provider Identifier is 1114134772, issued on May 16, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Arabi, GA. The record was last updated on Jun 23, 2008.