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Organization

ST. MARY'S HOLSTON HEALTH AND REHABILITATION CENTER, INC.

Active
Parent organization
ST. MARY'S HEALTH SYSTEM, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. MARY'S HEALTH SYSTEM, INC
Authorized official
MR. ANGEL DAVID JIMENEZ (INTERIM CEO)
(865) 545-7558
Entity
Organization

Contact information

Practice address
3916 BOYDS BRIDGE PIKE, KNOXVILLE, TN 37914-6233
(865) 524-1500
(865) 524-0408
Mailing address
3916 BOYDS BRIDGE PIKE, KNOXVILLE, TN 37914-6233
(865) 524-1500
(865) 524-0408

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
0000000333
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7440572
TN
Enumeration date
02/02/2007
Last updated
12/02/2009
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