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General NPI Number Information
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NPI Number | 1316983810
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Entity Type | Organization
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Legal Business Name | NHC HEALTHCARE-LEWISBURG LLC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 1653 MOORESVILLE HWY
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City | LEWISBURG
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State | TN
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Zip | 37091-2005
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Country | US
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Telephone | 931-359-4506
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Fax |
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Provider Business Mailing Address
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Address Line | 1653 MOORESVILLE HWY
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City | LEWISBURG
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State | TN
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Zip | 37091-2005
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Country | US
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Telephone | 931-359-4506
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Fax |
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Authorized Official
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Title or Position | MANAGER OF LLC
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Name | C. SCOTT BIDWELL
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Credential |
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Telephone | 931-424-1456
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 177
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License Number State | TN
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