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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