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Organization
COPPER BASIN COMMUNITY HOSPITAL
Active
Organization
COPPER BASIN COMMUNITY HOSPITAL
Active
Other names
Copper Basin Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA CLARK (CEO)
(423) 548-1500
Entity
Organization
Contact information
Practice address
144 MEDICAL CENTER DR, BLDG. C, COPPERHILL, TN 37317-5005
(423) 496-5511
(423) 548-1520
Mailing address
144 MEDICAL CENTER DR, BLDG. C, COPPERHILL, TN 37317-5005
(423) 496-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
01/20/2017
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