CRH NICHOLLS CLINIC – NPI #1295095925
Clinic/Center

CRH NICHOLLS CLINIC is an AHC clinic located in NICHOLLS, GA. NPPES has assigned the NPI number 1295095925 to CRH NICHOLLS CLINIC on May 29, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CRH NICHOLLS CLINIC” is a dba name, the actual legal business name for this organization is CRH PHYSICIAN PRACTICES LLC. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 8 years ago on Jul 24, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRH NICHOLLS CLINIC below.

NPI Profile for
CRH PHYSICIAN PRACTICES LLC

NPI Number
1295095925
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRH PHYSICIAN PRACTICES LLC
Doing Business As (dba): CRH NICHOLLS CLINIC
Primary location
804 N LIBERTY ST
NICHOLLS, GA 31554
Phone: (912) 384-4024 Fax: (912) 384-4040
Mailing address
1100 WARD STREET EXT W
DOUGLAS, GA 31533-1902
Phone: (912) 384-1477 Fax:
Organization Subpart
No
Authorized Official
VICKI LEWIS
CEO
Phone: (912) 384-1900
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.