Organization
CROCKETT HOSPITAL LLC
Active
Other names
Southern Tennessee Regional Health System Lawrenceburg
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
1607 S LOCUST AVE, LAWRENCEBURG, TN 38464-4011
(931) 762-6571
(931) 766-3339
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-4536
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
0000000087
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000171091X
—
GA
05
—
0440175
—
TN
05
—
09400008
—
MS
05
—
1762067
—
LA
05
—
HOS0175N
—
AL
Enumeration date
10/31/2006
Last updated
04/26/2022
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