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NPI Code Detail

MEDICARE: MAURY REGIONAL HOSPITAL

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
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1073156410
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 : 931-796-4901
Fax Number :
Provider Business Practice Location Address
First Line : 200 S CROSS BRIDGES RD
Second Line :
City : MT PLEASANT
State : TN
Zip : 38474-1714
Country : US
Telephone Number : 931-379-5821
Fax Number :
Authorized Official
Title or Position : VP FINANCE/IT
Name : GREGORY A WHITLOCK
Credential :
Telephone Number : 931-540-4212
Provider Enumeration Date : 10/17/2019
Last Update Date : 06/03/2025

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Practice Location Address:
200 S CROSS BRIDGES RD
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Practice Phone: 931-379-5821
Practice Fax: 931-379-5867
1891887659 — ROBERT A BAIN M.D.
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MT PLEASANT, TN
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Practice Location Address:
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1861639031 — REBECCA HELEN SMITH MD
Practice Location Address:
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Directions to “MAURY REGIONAL HOSPITAL ” Practice Location

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