1871530832 NPI number — CENTRAL TENNESSEE HOSPITAL CORPORATION

Table of content: (NPI 1871530832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871530832 NPI number — CENTRAL TENNESSEE HOSPITAL CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRAL TENNESSEE 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:
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:
1871530832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 HIGHWAY 70 E
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DICKSON
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37055-2080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-446-0446
Provider Business Mailing Address Fax Number:
615-441-2514

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 HIGHWAY 70 E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DICKSON
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37055-2080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-446-0446
Provider Business Practice Location Address Fax Number:
615-441-2514
Provider Enumeration Date:
05/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GRAY
Authorized Official First Name:
CLARENCE
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
615-326-2530

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: 01600006 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 149780201 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 15250400 , issued by the state of ( MO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2484217 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5000037 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000934513X , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0440046 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 30-4694062 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003127893 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 152295150 , issued by the state of ( AR ) . This identifiers is of the category "MEDICAID".
  • Identifier: 82500100 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 010017041 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0410153 . This is a "HEALTHSPRING" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1707015 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200027800A , issued by the state of ( OK ) . This identifiers is of the category "MEDICAID".
  • Identifier: 72836245 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4400046 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0054747 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 910790800 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: HOR0046N , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com