1720085178 NPI number — ROLLING HILLS HOSPITAL, LLC

Table of content: (NPI 1720085178)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720085178 NPI number — ROLLING HILLS HOSPITAL, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROLLING HILLS HOSPITAL, LLC
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:
ROLLING HILLS HOSPITAL
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:
1720085178
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6100 TOWER CIR STE 1000
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37067-1509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-861-6000
Provider Business Mailing Address Fax Number:
615-261-9685

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 ROLLING HILLS LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADA
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
74820-9415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
580-436-3600
Provider Business Practice Location Address Fax Number:
580-332-0295
Provider Enumeration Date:
06/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
FARLEY
Authorized Official First Name:
BRIAN
Authorized Official Middle Name:
P
Authorized Official Title or Position:
VICE PRESIDENT AND SECRETARY
Authorized Official Telephone Number:
615-861-6000

Provider Taxonomy Codes

  • Taxonomy code: 283Q00000X , with the licence number:  2319 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 323P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 500522195 . This is a "MEDICARE PART B" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100701680B , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 742752849001 . This is a "OKLAHOMA BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100701680A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 374016 . This is a "MEDICARE PART A" identifier . This identifiers is of the category "OTHER".
  • Identifier: 105109400 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com