# CANNON COUNTY HOSPITAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dekalb Community Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700983236
- **Authorized official:** JAIME Y DAUGHERTY (CONTROLLER)
- **Authorized official phone:** (615) 563-7201

## Contact information

- **Practice address:** 520 W MAIN ST, P.O. 640, SMITHVILLE, TN 37166-1138
- **Practice address phone:** (615) 215-5300
- **Practice address fax:** (615) 215-5600
- **Mailing address:** 520 W MAIN ST, P.O. 640, SMITHVILLE, TN 37166-1138
- **Mailing address phone:** (615) 215-5300
- **Mailing address fax:** (615) 215-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000138 | TN | Yes |

## Other

- **Enumeration date:** 09/19/2006
- **Last updated:** 10/22/2007