Healthcare Provider Details

I. General information

NPI: 1538166814
Provider Name (Legal Business Name): HARDIN COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 07/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983 WAYNE RD STE A
SAVANNAH TN
38372-2290
US

IV. Provider business mailing address

983 WAYNE RD STE A
SAVANNAH TN
38372-2290
US

V. Phone/Fax

Practice location:
  • Phone: 731-926-8215
  • Fax: 731-926-8217
Mailing address:
  • Phone: 731-926-8215
  • Fax: 731-926-8217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number0000000137
License Number StateTN

VIII. Authorized Official

Name: MRS. CHARLOTTE BURNS
Title or Position: CEO
Credential: R.N.
Phone: 731-926-8121