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Organization

DOCTORS HOSPITAL OF MCMINN COUNTY, LLC

Active
Other names
MCMINN MEMORIAL NURSING HOME
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN CLAPP (PRESIDENT)
(423) 263-3600
Entity
Organization

Contact information

Practice address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3600
Mailing address
886 HIGHWAY 411 N, ETOWAH, TN 37331-1912
(423) 263-3600

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0000000165
TN
314000000X
Skilled Nursing Facility
Primary
0000000165
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0445277
TN
05
7440131
TN
Enumeration date
02/04/2008
Last updated
02/11/2008
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