MEDICARE: CAMDEN GENERAL HOSPITAL, INC.

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	275N00000X	Medicare Defined Swing Bed Hospital Unit	00000000003	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00000000003	OTHER	TN	DEPT OF HEALTH LICENSE

General Provider Information

NPI Number	:	1770559726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMDEN GENERAL HOSPITAL, INC.

Provider Business Mailing Address
First Line	:	175 HOSPITAL DR
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1617
Country	:	US
Telephone Number	:	731-584-0109
Fax Number	:	731-584-0124

Provider Business Practice Location Address
First Line	:	175 HOSPITAL DR
Second Line	:
City	:	CAMDEN
State	:	TN
Zip	:	38320-1617
Country	:	US
Telephone Number	:	731-584-0109
Fax Number	:	731-584-0124

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	MS. TINA PRESCOTT
Credential	:
Telephone Number	:	731-541-5000

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	10/14/2024

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