1538166814 NPI number — HARDIN COUNTY GENERAL HOSPITAL

Table of content: (NPI 1538166814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538166814 NPI number — HARDIN COUNTY GENERAL HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARDIN COUNTY GENERAL HOSPITAL
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:
Provider Other Organization Name Type Code:
6
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:
1538166814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
983 WAYNE RD
Provider Second Line Business Mailing Address:
STE A
Provider Business Mailing Address City Name:
SAVANNAH
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38372-2290
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
731-926-8215
Provider Business Mailing Address Fax Number:
731-926-8217

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
983 WAYNE RD
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
SAVANNAH
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38372-2290
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-926-8215
Provider Business Practice Location Address Fax Number:
731-926-8217
Provider Enumeration Date:
07/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
BURNS
Authorized Official First Name:
CHARLOTTE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
731-926-8121

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  0000000137 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 41349 . This is a "TENNCARE SELECT" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 8284 . This is a "TLC" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 118384 . This is a "UNISON HEALTH PLANS" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 41349 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com