Organization
MCKENZIE TENNESSEE HOSPITAL COMPANY LLC
Active
Other names
McKenzie Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HUSSEY (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
161 HOSPITAL DR, MC KENZIE, TN 38201-1636
(731) 352-5344
Mailing address
PO BOX 501092, SAINT LOUIS, MO 63150-1092
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000011
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440182
—
TN
05
—
136768
—
TN
05
—
25796
—
TN
05
—
26664
—
TN
01
—
4050785
BCBS
—
05
—
440008
—
TN
Enumeration date
01/31/2006
Last updated
04/20/2008
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