Organization
BOLIVAR GENERAL HOSPITAL, INC.
Active
Organization
BOLIVAR GENERAL HOSPITAL, INC.
Active
Other names
West Tennessee Healthcare Bolivar Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINA PRESCOTT (PRESIDENT AND CEO)
(731) 541-5000
Entity
Organization
Contact information
Practice address
650 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 658-3100
(731) 659-0259
Mailing address
650 NUCKOLLS RD, BOLIVAR, TN 38008-1532
(731) 658-3100
(731) 659-0259
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0000000062
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044Z320
—
TN
Enumeration date
10/28/2005
Last updated
10/14/2024
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