MEDICARE: BAPTIST HOSPITAL WEST, 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	282N00000X	General Acute Care Hospital	0000000157	TN

General Provider Information

NPI Number	:	1992778823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAPTIST HOSPITAL WEST, INC.

Provider Business Mailing Address
First Line	:	10820 PARKSIDE DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934-1956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10820 PARKSIDE DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37934-1956
Country	:	US
Telephone Number	:	865-218-6011
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. JEFFREY A ASHIN
Credential	:
Telephone Number	:	865-545-7557

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	05/04/2011

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