# NORTHCREST MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669567897
- **Authorized official:** MR. RANDALL K DAVIS (CEO)
- **Authorized official phone:** (615) 384-2411

## Contact information

- **Practice address:** 100 NORTHCREST DR, SPRINGFIELD, TN 37172-3927
- **Practice address phone:** (615) 384-1571
- **Practice address fax:** (615) 382-5776
- **Mailing address:** PO BOX 305172 DEPT 97, NASHVILLE, TN 37230-5172
- **Mailing address phone:** (615) 384-1571
- **Mailing address fax:** (615) 382-5776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000099 | TN | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 12/20/2019
