Healthcare Provider Details

I. General information

NPI: 1255712766
Provider Name (Legal Business Name): SAINT THOMAS STONES RIVER HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 DOOLITTLE RD
WOODBURY TN
37190-1139
US

IV. Provider business mailing address

102 WOODMONT BLVD STE 800
NASHVILLE TN
37205-2287
US

V. Phone/Fax

Practice location:
  • Phone: 615-563-4001
  • Fax:
Mailing address:
  • Phone: 615-284-6826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: LISA R DAVIS
Title or Position: CFO
Credential:
Phone: 615-284-6845