Organization
HMA FENTRESS COUNTY GENERAL HOSPITAL
Active
Other names
JAMESTOWN REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BARRETT (MANAGER)
(772) 581-6226
Entity
Organization
Contact information
Practice address
436 CENTRAL AVE W, JAMESTOWN, TN 38556-3031
(772) 581-6226
Mailing address
PO BOX 781299, SEBASTIAN, FL 32978-1299
(772) 581-6226
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000048
FACILITY LICENSE NUMBER
TN
Enumeration date
04/20/2011
Last updated
04/20/2011
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