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General NPI Number Information
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NPI Number | 1013705391
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Entity Type | Organization
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Legal Business Name | SAINT THOMAS RIVER PARK HOSPITAL LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 2413 S CHANCERY ST
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City | MCMINNVILLE
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State | TN
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Zip | 37110-3614
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Country | US
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Telephone | 931-668-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 300 20TH AVE N STE 403
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City | NASHVILLE
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State | TN
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Zip | 37203-5180
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Country | US
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Telephone | 615-284-4088
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Fax |
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Authorized Official
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Title or Position | REGIONAL DIRECTOR OF OPERATIONS
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Name | CANDACE GARRETT
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Credential |
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Telephone | 615-290-7184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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