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NPI Code Detail

MEDICARE: NHC HEALTHCARE-DICKSON LLC

MEDICARE: NHC HEALTHCARE-DICKSON LLC
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
1314000000XSkilled Nursing Facility073TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30811067OTHERTNHEALTH SPRINGS
41000696OTHERTNBCBS TN

General Provider Information

NPI Number : 1699713164
Entity Type Code : Organization
Provider Name (Legal Business Name) : NHC HEALTHCARE-DICKSON LLC
Provider Business Mailing Address
First Line : 812 N CHARLOTTE ST
Second Line :
City : DICKSON
State : TN
Zip : 37055-1009
Country : US
Telephone Number : 615-446-8046
Fax Number :
Provider Business Practice Location Address
First Line : 812 N CHARLOTTE ST
Second Line :
City : DICKSON
State : TN
Zip : 37055-1009
Country : US
Telephone Number : 615-446-8046
Fax Number :
Authorized Official
Title or Position : MANAGER OF LLC
Name : C. SCOTT BIDWELL
Credential :
Telephone Number : 931-424-1456
Provider Enumeration Date : 06/04/2006
Last Update Date : 05/19/2025

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Directions to “NHC HEALTHCARE-DICKSON LLC ” Practice Location

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