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General NPI Number Information
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NPI Number | 1275531956
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Entity Type | Organization
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Legal Business Name | COOKEVILLE REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER BLVD
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City | COOKEVILLE
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State | TN
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Zip | 38501-1760
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Country | US
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Telephone | 931-783-2602
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Fax | 931-783-5666
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER BLVD
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City | COOKEVILLE
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State | TN
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Zip | 38501-1760
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Country | US
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Telephone | 931-783-2602
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Fax | 931-783-5666
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Authorized Official
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Title or Position | CEO
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Name | MARILYN C KEY
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Credential |
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Telephone | 931-783-2481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 0000000095
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License Number State | TN
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