Organization
TENNESSEE DEPARTMENT OF HEALTH
Active
Other names
Stewart County Community Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN VAILLENCOURT (DIRECTOR)
(931) 232-5329
Entity
Organization
Contact information
Practice address
1021 SPRING ST, DOVER, TN 37058-3302
(931) 232-5329
(931) 232-7247
Mailing address
425 5TH AVE N, 4TH FLOOR, NASHVILLE, TN 37243-3400
(615) 741-4733
(615) 532-2286
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
DO0000001638
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1503176
—
TN
Enumeration date
07/30/2010
Last updated
07/30/2010
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