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NPI Code Detail

MEDICARE: TAKOMA ADVENTIST HOSPITAL

MEDICARE: TAKOMA ADVENTIST HOSPITAL
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
1251E00000XHome Health Agency00000000-86TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1447417OTHERTNCARITEN SENIOR HLTH MCR
2447417OTHERTNJOHN DEERE HLTH MCR
3447417OTHERTNUNITED HEALTHCARE
4153116OTHERTNTENNCARE SELECT
5447417OTHERTNSTERLING LIFE MCR
60007714697OTHERTNAETNA
7447417OTHERTNJOHN DEER TENNCARE
80153116OTHERTNBLUE CARE/BLUE SHIELD
9447417OTHERTNHUMANA INS GOLD CHC MCR
10447417OTHERTNPHP COMPANIES

General Provider Information

NPI Number : 1962435255
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAKOMA ADVENTIST HOSPITAL
Provider Business Mailing Address
First Line : 1021 COOLIDGE ST
Second Line :
City : GREENEVILLE
State : TN
Zip : 37743-4672
Country : US
Telephone Number : 423-636-0700
Fax Number : 423-636-0706
Provider Business Practice Location Address
First Line : 1021 COOLIDGE ST
Second Line :
City : GREENEVILLE
State : TN
Zip : 37743-4672
Country : US
Telephone Number : 423-636-0700
Fax Number : 423-636-0706
Authorized Official
Title or Position : CFO
Name : BLIN RICHARDS
Credential :
Telephone Number : 423-639-3151
Provider Enumeration Date : 07/09/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1922000157 — DR. LEON COCHRAN MD
Practice Location Address:
1021 COOLIDGE ST , SUITE 4
GREENEVILLE, TN
37743-4672
Practice Phone: 423-636-8891
Practice Fax: 423-636-1732
1487610507 — MELANIE R DAVIDSON MD
Practice Location Address:
1021 COOLIDGE ST , SUITE 5
GREENEVILLE, TN
37743-4672
Practice Phone: 423-278-1842
Practice Fax: 423-278-1844
1629017397 — FELIX L FERNANDEZ D.O.
Practice Location Address:
1021 COOLIDGE ST STE 2
GREENEVILLE, TN
37743-4672
Practice Phone: 423-636-2700
Practice Fax: 423-232-8573
1346279486 — BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Practice Location Address:
1021 COOLIDGE ST
GREENEVILLE, TN
37743-4672
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Practice Fax: 423-636-2430
1598775876 — ANNE THOMPSON MD
Practice Location Address:
1021 COOLIDGE ST , SUITE 4
GREENEVILLE, TN
37743-4672
Practice Phone: 423-636-8891
Practice Fax: 423-636-1732
1053402701 — WOMEN'S CENTER OF GREENEVILLE, PC
Practice Location Address:
1021 COOLIDGE ST , SUITE 2
GREENEVILLE, TN
37743-4672
Practice Phone: 423-636-2300
Practice Fax: 423-636-0348

Directions to “TAKOMA ADVENTIST HOSPITAL ” Practice Location

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