Healthcare Provider Details

I. General information

NPI: 1497254858
Provider Name (Legal Business Name): PITTSBURG HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2018
Last Update Date: 10/01/2023
Certification Date: 10/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 US HIGHWAY 271 N
PITTSBURG TX
75686-4289
US

IV. Provider business mailing address

340 SEVEN SPRINGS WAY STE 100
BRENTWOOD TN
37027-5697
US

V. Phone/Fax

Practice location:
  • Phone: 903-946-5442
  • Fax: 903-946-5258
Mailing address:
  • Phone: 615-296-3000
  • Fax: 615-296-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN C. PETROVICH
Title or Position: EVP
Credential:
Phone: 615-296-3000