# SAINT THOMAS HICKMAN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAINT THOMAS HICKMAN HOSPITAL
- **Other names:** Ascension Saint Thomas Hickman Medical Clinic, Hickman Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992718688
- **Legal business name:** SAINT THOMAS HICKMAN HOSPITAL
- **Authorized official:** LISA R DAVIS (CFO)
- **Authorized official phone:** (615) 284-6845

## Contact information

- **Practice address:** 150 E SWAN STREET, CENTERVILLE, TN 37033
- **Practice address phone:** (931) 729-3091
- **Practice address fax:** (931) 729-0809
- **Mailing address:** 300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
- **Mailing address phone:** (615) 289-3257
- **Mailing address fax:** (615) 673-4541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 10/27/2022