Organization
VANDERBILT COFFEE HOSPITAL, LLC
Active
Organization
VANDERBILT COFFEE HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L SIMMONS (VP - FINANCE)
(615) 936-8875
Entity
Organization
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-8259
(931) 393-3000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/11/2020
Last updated
08/16/2021
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