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Organization
SHAMROCK COMMUNITY HOSPITAL INC
Active
Organization
SHAMROCK COMMUNITY HOSPITAL INC
Active
Parent organization
SHAMROCK COMMUNITY HOSPITAL INC
Other names
Shamrock Community Hospital Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAMROCK COMMUNITY HOSPITAL INC
Authorized official
LARRY HENSON (RCD)
(336) 944-6420
Entity
Organization
Contact information
Practice address
5001 E MAIN ST, ERIN, TN 37061-4115
(931) 289-4211
Mailing address
5001 E MAIN ST, ERIN, TN 37061-4115
(931) 289-4211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
12/15/2021
Last updated
08/01/2024
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