# UNICOI COUNTY OUTPATIENT REHAB

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNICOI COUNTY MEMORIAL HOSPITAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396912838
- **Legal business name:** UNICOI COUNTY MEMORIAL HOSPITAL INC
- **Authorized official:** MR. JIMMY S PATE (CEO)
- **Authorized official phone:** (423) 743-3141

## Contact information

- **Practice address:** 100 GREENWAY CIR, ERWIN, TN 37650-2177
- **Practice address phone:** (423) 743-3141
- **Practice address fax:** (423) 743-2887
- **Mailing address:** 100 GREENWAY CIR, ERWIN, TN 37650-2177
- **Mailing address phone:** (423) 743-3141
- **Mailing address fax:** (423) 743-2887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000119 | TN | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008