Organization
DYERSBURG HEALTH
Active
Other names
Dyersburg Employee Pharmacy, West Tennessee Healthcare Dyersburg Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA PRESCOTT (PRESIDENT AND CEO)
(731) 541-5000
Entity
Organization
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 287-2400
(731) 285-9545
Mailing address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 287-2400
(731) 285-9545
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
0000000030
TN
282N00000X
General Acute Care Hospital
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010567204
—
MO
05
—
044-0072
—
TN
05
—
0440072
—
TN
05
—
136765
—
TN
05
—
25283
—
TN
01
—
4048512
BCBS
—
Enumeration date
02/02/2006
Last updated
06/23/2025
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