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General NPI Number Information
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NPI Number | 1780832592
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Entity Type | Organization
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Legal Business Name | HUMPHREYS COUNTY COMMUNITY HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 451 HIGHWAY 13 S
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City | WAVERLY
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State | TN
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Zip | 37185-2109
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Country | US
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Telephone | 931-296-4203
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Fax | 931-296-4561
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Provider Business Mailing Address
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Address Line | 451 HIGHWAY 13 S
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City | WAVERLY
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State | TN
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Zip | 37185-2109
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Country | US
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Telephone | 931-296-4203
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Fax | 931-296-4561
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Authorized Official
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Title or Position | FINANCE MANAGER
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Name | SHANNON ALLISON
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Credential |
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Telephone | 931-296-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 275N00000X
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Taxonomy Name | Medicare Defined Swing Bed Hospital Unit
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License Number | 0000000036
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License Number State | TN
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