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Organization
TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC.
Active
Organization
TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC.
Active
Parent organization
TAKOMA ADVENTIST HOSPITAL
Other names
Takoma Adventist Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
TAKOMA ADVENTIST HOSPITAL
Authorized official
BLIN RICHARDS (CFO)
(423) 636-2376
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 639-3151
(423) 636-2374
Mailing address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 639-3151
(423) 636-2374
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0000000054
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000393
BLUE CROSS
TN
01
—
3278734
MEDICARE PART B GROUP #
TN
01
—
3924507
MEDICARE LCSW GROUP
TN
05
—
4400050
—
TN
01
—
A3774301
MEDICARE MANAGED CARE
TN
01
—
A3774401
TC JOHN DEERE MCAID
TN
Enumeration date
07/17/2006
Last updated
04/20/2008
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