Organization
MCNAIRY HOSPITAL CORPORATION
Active
Other names
Tennova Healthcare-McNairy Regional
Organization subpart
No
Provider details
NPI number
Authorized official
TARA P RICHARDSON (AUTHORIZED OFFICIAL)
(615) 221-3672
Entity
Organization
Contact information
Practice address
705 E POPLAR AVE, SELMER, TN 38375-1828
(731) 645-3221
Mailing address
PO BOX 501060, SAINT LOUIS, MO 63150-1060
(731) 645-3221
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000081
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440051
—
TN
05
—
07771013
—
MS
05
—
136769
—
TN
05
—
25828
—
TN
01
—
4048516
BCBS
—
05
—
440008
—
TN
Enumeration date
01/31/2006
Last updated
04/27/2016
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