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Organization
UNICOI COUNTY MEMORIAL HOSPITAL INC
Active
Organization
UNICOI COUNTY MEMORIAL HOSPITAL INC
Active
Other names
Unicoi County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PATE LNHA (ADMINISTRATOR)
(423) 743-3141
Entity
Organization
Contact information
Practice address
100 GREENWAY CIRCLE, ERWIN, TN 37650
(423) 743-3141
(423) 743-2890
Mailing address
100 GREENWAY CIRCLE, ERWIN, TN 37650
(423) 743-3141
(423) 743-2890
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000275
TN
314000000X
Skilled Nursing Facility
Primary
0000000275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445077
—
TN
01
—
7440197
ICF
TN
Enumeration date
02/28/2006
Last updated
05/31/2013
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