Organization
WHITE COUNTY COMMUNITY HOSPITAL LLC
Active
Parent organization
SPARTA HOSPITAL CORPORATION
Other names
Highlands Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARTA HOSPITAL CORPORATION
Authorized official
S RAY COFFEY (VP OF REIMBURSEMENT)
(615) 764-3009
Entity
Organization
Contact information
Practice address
401 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-9211
Mailing address
PO BOX 100983, ATLANTA, GA 30384-0983
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0000000127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621587742
CHAMPUS
—
Enumeration date
02/02/2006
Last updated
09/25/2012
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