# LAUDERDALE COMMUNITY HOSPITAL LLC

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

## Provider details

- **NPI number:** 1962034272
- **Authorized official:** DARREL MORRIS (COO)
- **Authorized official phone:** (918) 527-1234

## Contact information

- **Practice address:** 340 ASBURY AVE, RIPLEY, TN 38063-5577
- **Practice address phone:** (731) 221-2200
- **Practice address fax:** (731) 221-2499
- **Mailing address:** 340 ASBURY AVE, RIPLEY, TN 38063-5577
- **Mailing address phone:** (731) 221-2200
- **Mailing address fax:** (731) 221-2499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2020
- **Last updated:** 06/21/2024
