Organization
COOKEVILLE REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN C KEY (CEO)
(931) 783-2481
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-1760
(931) 783-2602
(931) 783-5666
Mailing address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501-1760
(931) 783-2602
(931) 783-5666
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000095
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064651
AETNA PROVIDER ID #
TN
05
—
0440059
—
TN
01
—
1000116
TENNCARE PROVIDER ID #
TN
01
—
27478
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3064481
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3067323
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3071971
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3079003
BCBST&TNCARE PIN PROF FEE
TN
01
—
3088599
BCBST&TNCARE PIN PROF FEE
TN
01
—
3088600
BCBST&TNCARE PIN PROF FEE
TN
01
—
3091395
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3163698
BCBST&TNCARE PIN PROF FEE
TN
01
—
369882
AMERICHOICE PIN # FOR PROFESSIONAL BILLING
TN
01
—
369883
AMERICHOICE PIN # FOR PROFESSIONAL BILING
TN
01
—
3806863
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3836719
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3870577
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
3894633
AMERIGROUP PIN # FOR PROFESSIONAL BILLING
TN
01
—
4042505
BCBST&TNCARE PIN PROF FEE
TN
01
—
4088879
BCBST&TNCARE PIN PROF FEE
TN
01
—
4109479
BCBST&TNCARE PIN PROF FEE
TN
01
—
4119802
BCBST&TNCARE PIN PROF FEE
TN
01
—
4123672
BCBST&TNCARE PIN PROF FEE
TN
01
—
4139913
BCBST&TNCARE PIN PROF FEE
TN
01
—
5000408
UHC PROVIDER ID #
TN
01
—
TN0104
AMERICHOICE PIN # FOR PROFESSIONAL BILLING
TN
Enumeration date
07/07/2005
Last updated
06/21/2023
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