Organization
UNICOI COUNTY OUTPATIENT REHAB
Active
Parent organization
UNICOI COUNTY MEMORIAL HOSPITAL INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNICOI COUNTY MEMORIAL HOSPITAL INC
Authorized official
MR. JIMMY S PATE (CEO)
(423) 743-3141
Entity
Organization
Contact information
Practice address
100 GREENWAY CIR, ERWIN, TN 37650-2177
(423) 743-3141
(423) 743-2887
Mailing address
100 GREENWAY CIR, ERWIN, TN 37650-2177
(423) 743-3141
(423) 743-2887
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000119
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4088769
BLUE CROSS AND BLUE SHIELD OF TENNESSEE
TN
Enumeration date
05/14/2008
Last updated
05/14/2008
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