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Organization

HOSPITAL OF MORRISTOWN LLC

Active
Other names
Lakeway Regional Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization

Contact information

Practice address
726 MCFARLAND ST, MORRISTOWN, TN 37814-3989
(423) 586-2302
Mailing address
PO BOX 198016, ATLANTA, GA 30384-8016
(423) 522-6000
(423) 587-8548

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000072
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0140003045
HEALTHSOURCE
05
0440067
TN
01
100020088
PHP
01
1000329
BCBS
01
306609
BLACK LUNG
05
A3781400
TN
Enumeration date
02/01/2006
Last updated
10/05/2017
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