Healthcare Provider Details

I. General information

NPI: 1912997024
Provider Name (Legal Business Name): MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

908 WEST FOURTH NORTH STREET
MORRISTOWN TN
37814-3894
US

IV. Provider business mailing address

P.O. BOX 1178
MORRISTOWN TN
37816-1178
US

V. Phone/Fax

Practice location:
  • Phone: 423-586-4231
  • Fax: 423-318-2452
Mailing address:
  • Phone: 423-586-4231
  • Fax: 423-318-2452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0000000073
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK CARRINGER
Title or Position: VP REVENUE CYCLE
Credential: CPA
Phone: 865-374-3090