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Organization

MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER

Active
Other names
Marshall Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY A WHITLOCK (VP FINANCE/IT)
(931) 540-4212
Entity
Organization

Contact information

Practice address
1080 N ELLINGTON PKWY, LEWISBURG, TN 37091-2227
(931) 359-6241
(931) 270-3627
Mailing address
PO BOX 100054, ATLANTA, GA 30348-0054
(931) 359-6241
(931) 270-3627

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
0000000075
TN
282NC0060X
Critical Access Hospital
Primary
0000000075
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0410172
HEALTHSPRING
TN
05
0441309
TN
01
1000189
TENNCARE SELECT PROVIDER
TN
Enumeration date
06/28/2006
Last updated
06/03/2025
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