# BOLIVAR GENERAL HOSPITAL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOLIVAR GENERAL HOSPITAL INC
- **Other names:** Bolivar ER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174545446
- **Legal business name:** BOLIVAR GENERAL HOSPITAL INC
- **Authorized official:** KAREN UTLEY (VICE PRESIDENT)
- **Authorized official phone:** (731) 425-6733

## Contact information

- **Practice address:** 650 NUCKOLLS RD, BOLIVAR, TN 38008-1532
- **Practice address phone:** (731) 658-3100
- **Practice address fax:** (731) 658-7890
- **Mailing address:** 257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |
| 282NC0060X | Critical Access Hospital | — | NULL | — |
| 282NC2000X | Children's Hospital | — | NULL | — |
| 282NR1301X | Rural Acute Care Hospital | — | NULL | — |
| 282NW0100X | Women's Hospital | — | NULL | — |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 10/30/2025