Organization
CANNON COUNTY HOSPITAL, LLC
Active
Other names
Deklab Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE D BAKER CPA (CONTROLLER)
(615) 215-5354
Entity
Organization
Contact information
Practice address
520 W MAIN ST, SMITHVILLE, TN 37166-1138
(615) 215-5300
(615) 215-5600
Mailing address
520 W MAIN ST, P.O. BOX 640, SMITHVILLE, TN 37166-1138
(615) 215-5300
(615) 215-5600
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
TN
Other
Enumeration date
09/19/2006
Last updated
08/22/2020
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