Healthcare Provider Details

I. General information

NPI: 1699754812
Provider Name (Legal Business Name): HARDIN COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 01/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 WAYNE ROAD
SAVANNAH TN
38372
US

IV. Provider business mailing address

935 WAYNE ROAD
SAVANNAH TN
38372
US

V. Phone/Fax

Practice location:
  • Phone: 731-926-8000
  • Fax: 731-926-8157
Mailing address:
  • Phone: 731-926-8000
  • Fax: 731-926-8157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number0000000061
License Number StateTN

VIII. Authorized Official

Name: NICHOLAS P LEWIS
Title or Position: CEO
Credential:
Phone: 731-926-8000