MEDICARE: MAURY REGIONAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1023038122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAURY REGIONAL HOSPITAL

Provider Business Mailing Address
First Line	:	PO BOX 100054
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30348-0054
Country	:	US
Telephone Number	:	931-381-1111
Fax Number	:	931-540-4144

Provider Business Practice Location Address
First Line	:	617 W MAIN ST
Second Line	:
City	:	HOHENWALD
State	:	TN
Zip	:	38462-1355
Country	:	US
Telephone Number	:	931-796-6101
Fax Number	:	931-796-6203

Authorized Official
Title or Position	:	VP FINANCE/IT
Name	:	GREGORY A WHITLOCK
Credential	:
Telephone Number	:	931-540-4212

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	06/03/2025

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