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Organization
SP ACQUISITION CORP.
Active
Organization
SP ACQUISITION CORP.
Active
Parent organization
SP ACQUISITION CORP.
Other names
Grandview Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SP ACQUISITION CORP.
Authorized official
S RAY COFFEY (VP, REIMBURSEMENT)
(615) 764-3009
Entity
Organization
Contact information
Practice address
1000 HIGHWAY 28, JASPER, TN 37347-3638
(423) 837-9500
(423) 837-3333
Mailing address
1000 HIGHWAY 28, JASPER, TN 37347-3638
(423) 837-9500
(423) 837-3333
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0000002180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044S064
—
TN
05
—
1000083
—
TN
05
—
222276000
—
TN
01
—
4022166
MAGELLAN BC
TN
Enumeration date
05/04/2006
Last updated
07/20/2011
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