MEDICARE: HOHENWALD MEDICAL CENTER

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	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1083005250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOHENWALD MEDICAL CENTER

Provider Business Mailing Address
First Line	:	20 S PARK ST
Second Line	:
City	:	HOHENWALD
State	:	TN
Zip	:	38462-1413
Country	:	US
Telephone Number	:	931-796-7960
Fax Number	:	931-796-7790

Provider Business Practice Location Address
First Line	:	20 S PARK ST
Second Line	:
City	:	HOHENWALD
State	:	TN
Zip	:	38462-1413
Country	:	US
Telephone Number	:	931-796-7960
Fax Number	:	931-796-7790

Authorized Official
Title or Position	:	PARTNER
Name	:	MICHAEL E PARKER
Credential	:	PA-C
Telephone Number	:	931-796-7960

Provider Enumeration Date	:	02/10/2015
Last Update Date	:	02/10/2015

Similar Medicare Providers

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Practice Location Address:

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Directions to “HOHENWALD MEDICAL CENTER ” Practice Location

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