Organization · Type 2 NPI

Crisp Regional Hospital, Inc.

Rural Health Clinic/Center · Rochelle, GA

NPI number 1902013048 Active

Practice location

636 Second Avenue, SW
Rochelle, GA 31079

Fax (229) 365-2571

Specialties and licenses

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

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

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NPI record

NPI: 1902013048
Entity type: Organization (Type 2)
Issued: May 17, 2007
Last updated: May 27, 2008
Status: Active
Subpart: Yes of Crisp Regional Hospital, Inc.

Other names

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Rochelle Healthcare Clinic · doing business as

Authorized official

James Miller
Director Physician Practices
(229) 271-4676

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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 1902013048

Crisp Regional Hospital, Inc.'s National Provider Identifier is 1902013048, issued on May 17, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Rochelle, GA. The record was last updated on May 27, 2008.