1982650024 NPI number — HCA HEALTH SERVICES OF TENNESSEE, INC.

Table of content: (NPI 1982650024)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982650024 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 SUMMIT 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:
1982650024
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:
5655 FRIST BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HERMITAGE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37076-2053
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-316-3000
Provider Business Mailing Address Fax Number:
615-316-4912

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5655 FRIST BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HERMITAGE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37076-2053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-316-3000
Provider Business Practice Location Address Fax Number:
615-316-4912
Provider Enumeration Date:
05/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
STANFILL
Authorized Official First Name:
TIMOTHY
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
615-316-4904

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: 0172669000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 08171261 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149781105 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200015240A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000737063X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0440150 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0606517 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0410779 . This is a "HEALTHSPRING" identifier . This identifiers is of the category "OTHER".
  • Identifier: 11328B , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 072850301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30-4674328 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 910618900 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 004401506 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01555962 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100033559 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 728323700 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 013187406 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01621101 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10025122600 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4215206 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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