Healthcare Provider Details

I. General information

NPI: 1033259924
Provider Name (Legal Business Name): HARDIN COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 WAYNE RD
SAVANNAH TN
38372-1937
US

IV. Provider business mailing address

935 WAYNE RD
SAVANNAH TN
38372-1937
US

V. Phone/Fax

Practice location:
  • Phone: 731-926-8173
  • Fax: 731-926-8143
Mailing address:
  • Phone: 731-926-8173
  • Fax: 731-926-8143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NR1301X
TaxonomyRural Acute Care Hospital
License Number1102
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number1102
License Number StateTN

VIII. Authorized Official

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