Healthcare Provider Details

I. General information

NPI: 1316265317
Provider Name (Legal Business Name): MAURY REGIONAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2010
Last Update Date: 08/27/2024
Certification Date: 08/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1224 TROTWOOD AVE
COLUMBIA TN
38401-4802
US

IV. Provider business mailing address

PO BOX 100054
ATLANTA GA
30348-0054
US

V. Phone/Fax

Practice location:
  • Phone: 931-381-1111
  • Fax:
Mailing address:
  • Phone: 931-381-1111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: CINDY KINGTON
Title or Position: DIRECTOR
Credential:
Phone: 931-380-4014