1619980117 NPI number — BAPTIST HOSPITAL SYSTEMS INC

Table of content: (NPI 1619980117)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619980117 NPI number — BAPTIST HOSPITAL SYSTEMS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAPTIST HOSPITAL SYSTEMS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BAPTIST WOMENS TREATMENT CENTER - NASHVILLE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619980117
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2555 MERIDIAN BOULEVARD
Provider Second Line Business Mailing Address:
SUITE 330
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37067-6363
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-786-0850
Provider Business Mailing Address Fax Number:
615-786-0851

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 CHURCH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-284-7682
Provider Business Practice Location Address Fax Number:
615-284-7677
Provider Enumeration Date:
08/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
O'KEEFE
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
J.
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
615-786-0850

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  159 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 159 . This is a "DEPT OF HEALTH" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 0440224 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4056448 . This is a "BCBS OF TN" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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