Organization
COPPER BASIN COMMUNITY HOSPITAL INC.
Active
Other names
ED COPPER BASIN MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C JOHNSON (CEO)
(423) 496-5511
Entity
Organization
Contact information
Practice address
144 MEDICAL CENTER DRIVE, COPPERHILL, TN 37317-0144
(423) 496-5511
(423) 496-9311
Mailing address
144 MEDICAL CENTER DRIVE, COPPERHILL, TN 37317-0144
(423) 496-5511
(423) 496-9311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000094
HEALTH CARE FACILITIES
TN
05
—
300040218A
—
GA
Enumeration date
01/22/2007
Last updated
05/19/2017
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