Organization
RIVER PARK HOSPITAL LLC
Active
Parent organization
RIVER PARK HOSPITAL LLC
Other names
River Park Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVER PARK HOSPITAL LLC
Authorized official
SHELTON RAY COFFEY (VP REIMBURSEMENT)
(615) 764-3009
Entity
Organization
Contact information
Practice address
1559 SPARTA ST, MC MINNVILLE, TN 37110-1316
(931) 815-4000
(931) 815-4710
Mailing address
1559 SPARTA ST, MC MINNVILLE, TN 37110-1316
(931) 815-4000
(931) 815-4710
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
0000002909
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044T151
—
TN
05
—
1000162
—
TN
05
—
RIV015N
—
AL
Enumeration date
05/02/2006
Last updated
02/19/2013
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