Organization
UNICOI COUNTY MEMORIAL HOSPITAL INC
Active
Other names
Unicoi County Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM PATE LNHA (ADMINISTRATOR)
(423) 743-3141
Entity
Organization
Contact information
Practice address
100 GREENWAY CIRCLE, ERWIN, TN 37650
(423) 743-3141
(423) 743-2890
Mailing address
100 GREENWAY CIRCLE, ERWIN, TN 37650
(423) 743-3141
(423) 743-2890
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000275
TN
314000000X
Skilled Nursing Facility
Primary
0000000275
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445077
—
TN
01
—
7440197
ICF
TN
Enumeration date
02/28/2006
Last updated
05/31/2013
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