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NPI Code Detail

MEDICARE: COCKE COUNTY HMA, LLC

MEDICARE: COCKE COUNTY HMA, LLC
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 Unit0000000016TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952374852
Entity Type Code : Organization
Provider Name (Legal Business Name) : COCKE COUNTY HMA, LLC
Provider Business Mailing Address
First Line : 435 2ND ST
Second Line :
City : NEWPORT
State : TN
Zip : 37821-3703
Country : US
Telephone Number : 423-625-2200
Fax Number : 423-625-2215
Provider Business Practice Location Address
First Line : 435 2ND ST
Second Line :
City : NEWPORT
State : TN
Zip : 37821-3703
Country : US
Telephone Number : 423-625-2200
Fax Number : 423-625-2215
Authorized Official
Title or Position : DIRECTOR/DELEGATED OFFICIAL
Name : PAULA M LALOR
Credential :
Telephone Number : 629-215-3953
Provider Enumeration Date : 02/10/2006
Last Update Date : 03/31/2021

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Directions to “COCKE COUNTY HMA, LLC ” Practice Location

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