Organization
COPPER BASIN COMMUNITY HOSPITAL INC
Active
Other names
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 37317-0990
(423) 496-5511
(423) 496-9311
Mailing address
PO BOX 990, COPPERHILL, TN 37317-0990
(423) 496-5511
(423) 496-9311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000094
TN
Other
Enumeration date
07/27/2007
Last updated
05/19/2017
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