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NPI Code Detail

MEDICARE: HICKMAN COMMUNITY HEALTH SERVICES

MEDICARE: HICKMAN COMMUNITY HEALTH SERVICES
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
1313M00000XNursing Facility/Intermediate Care Facility0000000132TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669564803
Entity Type Code : Organization
Provider Name (Legal Business Name) : HICKMAN COMMUNITY HEALTH SERVICES
Provider Business Mailing Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-3513
Fax Number : 931-729-4612
Provider Business Practice Location Address
First Line : 135 E SWAN ST
Second Line :
City : CENTERVILLE
State : TN
Zip : 37033-1417
Country : US
Telephone Number : 931-729-3513
Fax Number : 931-729-4612
Authorized Official
Title or Position : CFO
Name : LISA R DAVIS
Credential :
Telephone Number : 615-284-6845
Provider Enumeration Date : 09/28/2006
Last Update Date : 08/11/2020

Similar Medicare Providers

1851356646 — MICHAEL L HARDY RPH
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
Practice Phone: 931-729-6814
Practice Fax:
1245275254 — SAINT THOMAS HICKMAN HOSPITAL
Practice Location Address:
135 E SWAN ST
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37033-1417
Practice Phone: 931-729-4271
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1982630653 — SAINT THOMAS HOME HEALTH
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
Practice Phone: 931-729-4500
Practice Fax: 931-729-9000
1740218114 — DR. ANUP K. SATPATHY MD
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
Practice Phone: 931-729-4271
Practice Fax: 931-729-6793
1124052105 — DR. MAREK DURAKIEWICZ MD
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
Practice Phone: 931-729-4271
Practice Fax: 931-729-6793
1699871897 — DAVID A HEFFINGTON CRNA
Practice Location Address:
135 E SWAN ST
CENTERVILLE, TN
37033-1417
Practice Phone: 660-826-5960
Practice Fax:

Directions to “HICKMAN COMMUNITY HEALTH SERVICES ” Practice Location

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