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NPI 1114835725

NPI 1114835725 : SAINT THOMAS RIVER PARK HOSPITAL LLC : WOODBURY, TN

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General NPI Number Information
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    NPI Number           |    1114835725
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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     |    09/01/2026
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    Last Update Date     |    09/01/2026
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Provider Practice Location Address
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    Address Line         |    89 MEARS DR 
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    City                 |    WOODBURY
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    State                |    TN
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    Zip                  |    37190-1284
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    Country              |    US
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    Telephone            |    615-563-7515
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    Fax                  |    615-563-7393
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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                  |    615-284-7501
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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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