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Organization
HERMITAGE MEDICAL INVESTORS, INC.
Active
Organization
HERMITAGE MEDICAL INVESTORS, INC.
Active
Other names
Hermitage Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE BARKER (ADMINISTRATOR)
(423) 543-2571
Entity
Organization
Contact information
Practice address
1633 HILLVIEW DR, ELIZABETHTON, TN 37643-4115
(423) 543-2571
(423) 543-8533
Mailing address
1633 HILLVIEW DR, ELIZABETHTON, TN 37643-4115
(423) 543-2571
(423) 543-8533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4090129
BLUE CROSS BLUE SHIELD
TN
05
—
7440541
—
TN
01
—
77546907
TPIN
TN
Enumeration date
09/29/2006
Last updated
08/04/2008
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