MEDICARE: MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION

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	291U00000X	Clinical Medical Laboratory
2	282N00000X	General Acute Care Hospital	0000000073	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

General Provider Information

NPI Number	:	1912997024
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION

Provider Business Mailing Address
First Line	:	P.O. BOX 1178
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37816-1178
Country	:	US
Telephone Number	:	423-586-4231
Fax Number	:	423-318-2452

Provider Business Practice Location Address
First Line	:	908 WEST FOURTH NORTH STREET
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-3894
Country	:	US
Telephone Number	:	423-586-4231
Fax Number	:	423-318-2452

Authorized Official
Title or Position	:	VP REVENUE CYCLE
Name	:	MR. RICK CARRINGER
Credential	:	CPA
Telephone Number	:	865-374-3090

Provider Enumeration Date	:	10/28/2005
Last Update Date	:	11/21/2023

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