Healthcare Provider Details

I. General information

NPI: 1356388227
Provider Name (Legal Business Name): SISKIN HOSPITAL FOR PHYSICAL REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 SISKIN PLZ
CHATTANOOGA TN
37403-1306
US

IV. Provider business mailing address

1 SISKIN PLZ
CHATTANOOGA TN
37403-1306
US

V. Phone/Fax

Practice location:
  • Phone: 423-634-1200
  • Fax:
Mailing address:
  • Phone: 423-634-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number67
License Number StateTN

VIII. Authorized Official

Name: CAROL ARNHART
Title or Position: VICE PRESIDENT, FINANCE AND CFO
Credential:
Phone: 423-634-1587