CRH PAIN MANAGEMENT
Complete NPI Record 1710046073
Clinic/Center - Multi-Specialty in Douglas, GA
Active since December 06, 2006
Complete NPI Dataset
This page contains the complete raw NPPES record for Crh Pain Management (NPI 1710046073), a clinic/center organization in Douglas, GA. All 30 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1710046073 Field 1/30
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/30
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/30
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: CRH PHYSICIAN PRACTICES, LLC Field 4/30
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: CRH PAIN MANAGEMENT Field 5/30
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/30
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 14804 Field 7/30
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: BELFAST Field 8/30
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: ME Field 9/30
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 049154043 Field 10/30
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/30
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 9123841477 Field 12/30
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 9123841470 Field 13/30
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 100 DOCTORS DR STE A Field 14/30
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: DOUGLAS Field 15/30
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: GA Field 16/30
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 315332211 Field 17/30
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/30
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9125590242 Field 19/30
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9128385677 Field 20/30
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: CRAVEY Field 23/30
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: LAVONDA Field 24/30
- The first name of the authorized official.
- Authorized Official Title or Position: CONTROLLER Field 25/30
- The title or position of the authorized official.
- Authorized Official Telephone Number: 9123841900 Field 26/30
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 261QM1300X Field 27/30
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 28/30
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 29/30
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Secondary Practice Locations 21
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
200 Doctors Dr Ste S
Location 1/21Douglas, GA 31533-2203 · Phone (912) 292-0658
200 Doctors Dr Ste K
Location 2/21Douglas, GA 31533-2202 · Phone (912) 384-4024
100 Doctors Dr Ste C
Location 3/21Douglas, GA 31533-2211 · Phone (912) 384-5832
200 Doctors Dr Ste L
Location 4/21Douglas, GA 31533-2202 · Phone (912) 383-6360
200 Doctors Dr Ste 220
Location 5/21Douglas, GA 31533-2203 · Phone (912) 384-4030
205 Shirley Ave
Location 6/21Douglas, GA 31533-2327 · Phone (912) 260-5400
901 Connector 206 N
Location 7/21Douglas, GA 31533-7150 · Phone (912) 389-6885
903 Ward St W Ste B
Location 8/21Douglas, GA 31533-3536 · Phone (912) 384-4030
103 Parallel Street
Location 9/21Douglas, GA 31519 · Phone (912) 359-3869
100 Doctors Dr Ste G
Location 10/21Douglas, GA 31533-2211 · Phone (912) 384-9898
2010 Ocilla Rd
Location 11/21Douglas, GA 31533-2230 · Phone (912) 384-2500
100 Doctors Dr Ste B
Location 12/21Douglas, GA 31533-2211 · Phone (912) 720-9010
205 S Wayne St
Location 13/21Alma, GA 31510-2919 · Phone (912) 632-5663
1305 Ocilla Rd
Location 14/21Douglas, GA 31533-2209 · Phone (912) 384-0600
1050 Valdosta Hwy
Location 15/21Homerville, GA 31634-9701 · Phone (912) 383-6575
3374 Greystone Way
Location 16/21Valdosta, GA 31605-1096 · Phone (229) 253-1020
11 Cross St
Location 17/21Hazlehurst, GA 31539-6427 · Phone (912) 699-8000
1508 Tebeau St
Location 18/21Waycross, GA 31501-5327 · Phone (912) 384-0600
200 Doctors Dr Ste P
Location 19/21Douglas, GA 31533-2202 · Phone (912) 384-9460
2007 Ocilla Rd
Location 20/21Douglas, GA 31533-2229 · Phone (912) 384-0162
182 Perry House Rd Ste F
Location 21/21Fitzgerald, GA 31750-8714 · Phone (912) 384-0600 · Fax (912) 384-0601
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