Organization
ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.
Active
Parent organization
MERCY HEALTH PARTNERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH PARTNERS, INC.
Authorized official
MR. ANGEL DAVID JIMENEZ (PRESIDENT & CEO)
(865) 545-7558
Entity
Organization
Contact information
Practice address
200 TORREY RD, LA FOLLETTE, TN 37766-2728
(423) 907-1379
(423) 907-1189
Mailing address
923 E CENTRAL AVE, LA FOLLETTE, TN 37766-2768
(423) 907-1200
(423) 907-1164
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452065
—
TN
Enumeration date
11/22/2006
Last updated
09/21/2010
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