Organization
COFFEE COUNTY HOSPITAL GROUP, INC
Active
Other names
MEDICAL CENTER OF MANCHESTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J. COUCH CEO (CHIEF EXECUTIVE OFFICER)
(931) 728-6354
Entity
Organization
Contact information
Practice address
481 INTERSTATE DR, MANCHESTER, TN 37355-3108
(931) 728-6354
(931) 728-5420
Mailing address
PO BOX 1409, MANCHESTER, TN 37349-4409
(931) 728-6354
(931) 728-5420
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
000000000019
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441308
—
TN
01
—
1000063
TENNCARE PROVIDER NUMBER
TN
Enumeration date
07/29/2006
Last updated
06/02/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us