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Organization
COPPER BASIN COMMUNITY HOSPITAL INC.
Active
Organization
COPPER BASIN COMMUNITY HOSPITAL INC.
Active
Other names
ED COPPER BASIN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C JOHNSON (CEO)
(423) 496-5511
Entity
Organization
Contact information
Practice address
144 MEDICAL CENTER DRIVE, COPPERHILL, TN 37317-0144
(423) 496-5511
(423) 496-9311
Mailing address
144 MEDICAL CENTER DRIVE, COPPERHILL, TN 37317-0144
(423) 496-5511
(423) 496-9311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000094
HEALTH CARE FACILITIES
TN
05
—
300040218A
—
GA
Enumeration date
01/22/2007
Last updated
05/19/2017
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