| Crisp Regional Hospital, Inc | |
|
4110 Bedgood Ave Arabi GA 31712-3669 | |
| (229) 273-0116 | |
| (229) 273-4853 |
| Full Name | Crisp Regional Hospital, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 4110 Bedgood Ave, Arabi, Georgia |
| Authorized Official Name and Position | Charlotte Vestal (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2292763100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crisp Regional Hospital, Inc 4110 Bedgood Ave Arabi GA 31712-3669 Ph: (229) 273-0116 | Crisp Regional Hospital, Inc 4110 Bedgood Ave Arabi GA 31712-3669 Ph: (229) 273-0116 |
| NPI Number | 1114134772 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114134772 | NPI | - | NPPES |
| 00000514G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Georgia) | Primary |