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NPI Code Detail

MEDICARE: SAINT THOMAS HICKMAN HOSPITAL

MEDICARE: SAINT THOMAS HICKMAN HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1275N00000XMedicare Defined Swing Bed Hospital Unit
2282NC0060XCritical Access Hospital0000000056TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13280568OTHERTNMEDICARE PTAN
4441300OTHERTNMEDICARE INPATIENT
544Z300OTHERTNMEDICARE SWINGBED

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31000133OTHERTNBLUE CROSS
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245275254
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAINT THOMAS HICKMAN HOSPITAL
Provider Business Mailing Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-4271
Fax Number : 931-729-0174
Provider Business Practice Location Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-4271
Fax Number : 931-729-0174
Authorized Official
Title or Position : ADMINISTRATION
Name : MR. KEVIN CAMPBELL
Credential :
Telephone Number : 931-729-6790
Provider Enumeration Date : 06/17/2006
Last Update Date : 08/11/2020

Similar Medicare Providers

1851356646 — MICHAEL L HARDY RPH
Practice Location Address:
135 E SWAN ST
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37033-1417
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Practice Fax:
1982630653 — SAINT THOMAS HOME HEALTH
Practice Location Address:
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1740218114 — DR. ANUP K. SATPATHY MD
Practice Location Address:
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CENTERVILLE, TN
37033-1417
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Practice Fax: 931-729-6793
1124052105 — DR. MAREK DURAKIEWICZ MD
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
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Practice Fax: 931-729-6793
1699871897 — DAVID A HEFFINGTON CRNA
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
Practice Phone: 660-826-5960
Practice Fax:
1669564803 — HICKMAN COMMUNITY HEALTH SERVICES
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
Practice Phone: 931-729-3513
Practice Fax: 931-729-4612

Directions to “SAINT THOMAS HICKMAN HOSPITAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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