# WOODS MEMORIAL HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** McMinn Memorial Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114288131
- **Authorized official:** MICHAEL B. CLARK (PRESIDENT)
- **Authorized official phone:** (615) 372-8500

## Contact information

- **Practice address:** 886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
- **Practice address phone:** (423) 263-3600
- **Mailing address:** 103 POWELL CT, BRENTWOOD, TN 37027-5079
- **Mailing address phone:** (615) 372-8500
- **Mailing address fax:** (615) 372-8572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 06/06/2012