Organization
TAKOMA REGIONAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLIN RICHARDS (CHIEF FINANCIAL OFFICER)
(423) 636-0369
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(828) 687-5281
(828) 687-5298
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-1412
(828) 687-5281
(828) 687-5298
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
98
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440050
—
TN
01
—
1000393
BLUE CROSS
TN
01
—
A3774301
JOHN DEERE
TN
01
—
A3774401
AMERICHOICE
TN
Enumeration date
03/05/2007
Last updated
08/22/2020
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