Organization
BOLIVAR GENERAL HOSPITAL, INC.
Active
Parent organization
BOLIVAR GENERAL HOSPITAL, INC.
Other names
West Tennessee Medical Group Primary Care Bolivar
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOLIVAR GENERAL HOSPITAL, INC.
Authorized official
JAMES ROSS (PRESIDENT AND CEO)
(731) 512-1277
Entity
Organization
Contact information
Practice address
640 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 658-3100
Mailing address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 512-1277
(731) 984-2199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
01/22/2019
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