# ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HEALTH PARTNERS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366423782
- **Legal business name:** MERCY HEALTH PARTNERS, INC.
- **Authorized official:** MR. TIMOTHY PARRY (SR VP AND GENERAL COUNSEL)
- **Authorized official phone:** (239) 552-3458

## Contact information

- **Practice address:** 923 EAST CENTRAL AVE, LAFOLLETTE, TN 37766-2055
- **Practice address phone:** (423) 907-1200
- **Practice address fax:** (423) 907-1164
- **Mailing address:** 923 EAST CENTRAL AVE, LAFOLLETTE, TN 37766-2055
- **Mailing address phone:** (423) 907-1200
- **Mailing address fax:** (423) 907-1164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000008 | TN | Yes |

## Other

- **Enumeration date:** 11/11/2005
- **Last updated:** 10/05/2011