Organization
HENDERSONVILLE HOSPITAL CORPORATION
Active
Other names
PORTLAND MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MORRISON (CFO)
(615) 338-1100
Entity
Organization
Contact information
Practice address
105 REDBUD DR, PORTLAND, TN 37148-1673
(615) 325-7301
(615) 325-1207
Mailing address
PO BOX 277463, ATLANTA, GA 30384-7463
(615) 325-1206
(615) 325-1207
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0063022
AETNA
—
01
—
0699930
CIGNA
TN
01
—
1000118
TNCARE SELECT
TN
01
—
5000036
UNITED HEALTHCARE
—
Enumeration date
06/11/2006
Last updated
08/22/2020
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