Organization
OCOEE HOSPITAL CORPORATION
Active
Other names
Bradley Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HUSSEY (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization
Contact information
Practice address
2305 CHAMBLISS AVE NW, POB 3060, CLEVELAND, TN 37311-3847
(423) 559-6000
Mailing address
PO BOX 403914, ATLANTA, GA 30384-3914
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000031
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000228A
—
GA
05
—
01621945
—
KY
05
—
0200937
—
OH
05
—
241517
—
SC
01
—
4111694
BCBS
—
05
—
4111694
—
TN
05
—
4400024
—
NC
01
—
440024
CARITEN
—
01
—
A3731101
JOHN DEERE
—
Enumeration date
07/18/2006
Last updated
08/22/2020
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