Healthcare Provider Details

I. General information

NPI: 1730233552
Provider Name (Legal Business Name): HARDIN COUNTY GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 05/24/2016
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: 731-926-8121
  • Fax: 731-926-8303
Mailing address:
  • Phone: 731-926-8121
  • Fax: 731-926-8303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number0000000119
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number0000000119
License Number StateTN

VIII. Authorized Official

Name: LEIGH ANN HUGHES
Title or Position: CFO
Credential:
Phone: 731-926-8090