# HMA FENTRESS COUNTY GENERAL HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova Healthcare-Jamestown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093760712
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (615) 925-4565

## Contact information

- **Practice address:** 436 CENTRAL AVE W, JAMESTOWN, TN 38556-3031
- **Practice address phone:** (931) 879-8171
- **Mailing address:** 436 CENTRAL AVE W, JAMESTOWN, TN 38556-3031
- **Mailing address phone:** (931) 879-8171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000048 | TN | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 03/29/2018