1538114434 NPI number — HENDERSONVILLE HOSPITAL CORPORATION

Table of content: (NPI 1538114434)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538114434 NPI number — HENDERSONVILLE HOSPITAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HENDERSONVILLE HOSPITAL CORPORATION
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 HENDERSONVILLE 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:
1538114434
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:
355 NEW SHACKLE ISLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSONVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37075-2300
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-338-1000
Provider Business Mailing Address Fax Number:
615-264-4281

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
355 NEW SHACKLE ISLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSONVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37075-2300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-338-1000
Provider Business Practice Location Address Fax Number:
615-264-4281
Provider Enumeration Date:
05/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MORRISON
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
615-338-1100

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: 1000121 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0552273 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0832344 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 908322700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000787806X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01621499 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0440194 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200462150A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3026333 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 511100 , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016114506 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 023982800 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 072858601 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 145257105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1702528 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200068190A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 40-4674462 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4400194 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HEN0194N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0401001 . This is a "HEALTHSPRING" identifier . This identifiers is of the category "OTHER".




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