Organization
MAURY REGIONAL HOSPITAL
Active
Other names
Maury Regional Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J BRINKLEY III (CFO)
(931) 540-4212
Entity
Organization
Contact information
Practice address
800 S JAMES M CAMPBELL BLVD STE 12, COLUMBIA, TN 38401-5937
(931) 490-4600
(931) 380-4103
Mailing address
858 W JAMES M CAMPBELL BLVD STE 204, COLUMBIA, TN 38401-4660
(931) 490-4600
(931) 380-4103
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0000000180
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0447408
—
TN
01
—
39322
BLUE CROSS BLUE SHIELD NO
TN
Enumeration date
10/19/2005
Last updated
01/20/2025
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