Organization
MARTIN HEALTH
Active
Other names
West Tennessee Healthcare Volunteer Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA PRESCOTT (PRESIDENT AND CEO)
(731) 541-5000
Entity
Organization
Contact information
Practice address
161 MOUNT PELIA RD, MARTIN, TN 38237-3811
(731) 587-4261
(731) 588-3209
Mailing address
161 MOUNT PELIA RD, MARTIN, TN 38237-3811
(731) 587-4261
(731) 588-3209
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
0000000126
TN
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01600824
—
KY
05
—
044-0061
—
TN
05
—
0440061
—
TN
05
—
136771
—
TN
05
—
25795
—
TN
01
—
4048507
BCBS
—
01
—
421557527
CHAMPUS
—
Enumeration date
02/02/2006
Last updated
10/14/2024
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