Organization
SAINT THOMAS HICKMAN HOSPITAL
Active
Other names
Ascension Saint Thomas Hickman
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN CAMPBELL (ADMINISTRATION)
(931) 729-6790
Entity
Organization
Contact information
Practice address
135 E SWAN ST, CENTERVILLE, TN 37033-1417
(931) 729-4271
(931) 729-0174
Mailing address
135 E SWAN ST, CENTERVILLE, TN 37033-1417
(931) 729-4271
(931) 729-0174
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
Primary
0000000056
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0441300
—
TN
05
—
044Z300
—
TN
01
—
1000133
BLUE CROSS
TN
01
—
3280568
MEDICARE PTAN
TN
01
—
441300
MEDICARE INPATIENT
TN
01
—
44Z300
MEDICARE SWINGBED
TN
Enumeration date
06/17/2006
Last updated
08/11/2020
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