Organization
MAURY REGIONAL HOSPITAL
Active
Parent organization
MAURY REGIONAL HOSPITAL D/B/A LEWIS HEALTH CENTER
Other names
Lewisburg Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAURY REGIONAL HOSPITAL D/B/A LEWIS HEALTH CENTER
Authorized official
CHARLES J BRINKLEY III (CFO)
(931) 540-4212
Entity
Organization
Contact information
Practice address
1090 N ELLINGTON PKWY, SUITE 102, LEWISBURG, TN 37091-2227
(931) 359-0019
Mailing address
PO BOX 100054, ATLANTA, GA 30348-0054
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
08/08/2024
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