Organization
SMITH COUNTY MEMORIAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS GOODIN M.D. (PRESIDENT)
(931) 484-0048
Entity
Organization
Contact information
Practice address
158 HOSPITAL DR, CARTHAGE, TN 37030-1083
(615) 735-1560
Mailing address
PO BOX 292245, NASHVILLE, TN 37229-2245
(931) 484-0048
(931) 456-2937
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770509697
NPI
—
Enumeration date
07/14/2006
Last updated
01/08/2008
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