# CLEVELAND TENNESSEE HOSPITAL COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tennova Healthcare-Cleveland
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790756203
- **Authorized official:** PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
- **Practice address phone:** (423) 559-6000
- **Practice address fax:** (423) 559-6653
- **Mailing address:** PO BOX 198029, ATLANTA, GA 30384-8029
- **Mailing address phone:** (423) 559-6000
- **Mailing address fax:** (423) 559-6653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000000006 | TN | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 03/29/2021