Organization
COFFEE MEDICAL GROUP LLC
Active
Other names
dba United Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GEORGE (CHIEF FINANCIAL OFFICER)
(931) 461-3439
Entity
Organization
Contact information
Practice address
1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
(931) 461-3436
(931) 461-2587
Mailing address
1001 MCARTHUR ST, MANCHESTER, TN 37355-2419
(931) 461-3436
(931) 461-2587
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000017
TN
Other
Enumeration date
11/06/2006
Last updated
08/22/2020
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