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Organization

CLEVELAND TENNESSEE HOSPITAL COMPANY LLC

Active
Other names
Tennova Healthcare-Cleveland
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization

Contact information

Practice address
2305 CHAMBLISS AVE NW, CLEVELAND, TN 37311-3847
(423) 559-6000
(423) 559-6653
Mailing address
PO BOX 198029, ATLANTA, GA 30384-8029
(423) 559-6000
(423) 559-6653

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000006
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00136133A
GA
01
0140006296
HEALTHSOURCE
01
01CCHTN
COMP HEALTH
01
030433100
BLACK LUNG
05
0440185
TN
01
1000017
BCBS
01
5000072
UNITED HEALTHCARE
01
A3731201
JOHN DEERE
Enumeration date
02/01/2006
Last updated
03/29/2021
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