Healthcare Provider Details

I. General information

NPI: 1750353942
Provider Name (Legal Business Name): HOSPITAL OF MORRISTOWN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 10/05/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

726 MCFARLAND ST
MORRISTOWN TN
37814-3989
US

IV. Provider business mailing address

PO BOX 198016
ATLANTA GA
30384-8016
US

V. Phone/Fax

Practice location:
  • Phone: 423-586-2302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number0000000072
License Number StateTN

VIII. Authorized Official

Name: PAULA M LALOR
Title or Position: DIRECTOR/DELEGATED OFFICIAL
Credential:
Phone: 615-925-4565