1720032345 NPI number — HCA HEALTH SERVICES OF TENNESSEE, INC.

Table of content: (NPI 1720032345)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720032345 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 SOUTHERN HILLS 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:
1720032345
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:
391 WALLACE RD
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:
37211-4851
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-781-4000
Provider Business Mailing Address Fax Number:
615-781-4113

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
391 WALLACE RD
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:
37211-4851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-781-4000
Provider Business Practice Location Address Fax Number:
615-781-4113
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
PORADA
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
615-332-6160

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: 100102850A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 107814901 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 95000139 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOS0197N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01621390 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 80746300 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004401972 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10117A , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4400197 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: HS934IP , issued by the state of ( AK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01260177 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0440197 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 09602562 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 115715105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 404608233 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5000048 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0168980000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 097488900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1000172 . This is a "BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 111154226 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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