1023055126 NPI number — HCA HEALTH SERVICES OF TENNESSEE, INC.

Table of content: (NPI 1023055126)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023055126 NPI number — HCA HEALTH SERVICES OF TENNESSEE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HCA HEALTH SERVICES OF TENNESSEE, 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:
TRISTAR CENTENNIAL MEDICAL CENTER
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:
1023055126
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/02/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2300 PATTERSON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37203-1538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-342-1000
Provider Business Mailing Address Fax Number:
615-342-1045

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2300 PATTERSON 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:
37203-1538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-342-1000
Provider Business Practice Location Address Fax Number:
615-342-1045
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SUMMERS
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
615-342-1005

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 016225401 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100697600C , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 153509801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30-4682393 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 158124105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200170830A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0161N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: UM36274577 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000928991X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1000164 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1148619 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2382943 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4400161 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1707996 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: XHSP33216 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 041052 . This is a "HEALTHSPRING" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4401638 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01620475 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0440161 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 910685500 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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