Organization
MCKENZIE TENNESSEE HOSPITAL COMPANY LLC
Active
Parent organization
MCKENZIE TENNESSEE HOSPITAL COMPANY LLC
Other names
McKenzie Hospital Corp Anesthesia
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCKENZIE TENNESSEE HOSPITAL COMPANY LLC
Authorized official
DEBBIE E BREWER (DIRECTOR, PROVIDER ENROLLMENT)
(877) 892-9813
Entity
Organization
Contact information
Practice address
161 HOSPITAL DR, MC KENZIE, TN 38201-1636
(660) 826-5960
(660) 826-4852
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3250180
—
TN
01
—
4121222
BCBS GROUP PIN
TN
Enumeration date
05/13/2006
Last updated
02/01/2008
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