Healthcare Provider Details

I. General information

NPI: 1750370797
Provider Name (Legal Business Name): HENDERSONVILLE HOSPITALIST SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 NEW SHACKLE ISLAND RD
HENDERSONVILLE TN
37075-2300
US

IV. Provider business mailing address

355 NEW SHACKLE ISLAND RD
HENDERSONVILLE TN
37075-2300
US

V. Phone/Fax

Practice location:
  • Phone: 615-338-1000
  • Fax: 615-338-1101
Mailing address:
  • Phone: 615-338-1000
  • Fax: 615-338-1101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL MORRISON
Title or Position: CFO
Credential:
Phone: 615-373-7604