# FORT LOUDOUN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COVENANT HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609860659
- **Legal business name:** COVENANT HEALTH
- **Authorized official:** ROBERT BOOS (SVP REVENUE CYCLE)
- **Authorized official phone:** (865) 374-3000

## Contact information

- **Practice address:** 550 FORT LOUDOUN MEDICAL CENTER DR, LENOIR CITY, TN 37772-5673
- **Practice address phone:** (865) 458-8222
- **Mailing address:** PO BOX 440016, NASHVILLE, TN 37244-0016
- **Mailing address phone:** (865) 374-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000084 | TN | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 05/13/2026
