Organization
NORTHCREST MEDICAL CENTER
Active
Organization
NORTHCREST MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL K DAVIS (CEO)
(615) 384-2411
Entity
Organization
Contact information
Practice address
100 NORTHCREST DR, SPRINGFIELD, TN 37172
(615) 384-2411
(615) 382-5776
Mailing address
PO BOX 305172, NASHVILLE, TN 37230-5172
(615) 384-1571
(615) 382-5776
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0000000099
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440065
—
TN
Enumeration date
08/29/2018
Last updated
09/06/2018
Update your record
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