Organization
MAURY REGIONAL HOSPITAL
Active
Other names
Wayne Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A WHITLOCK (VP FINANCE/IT)
(931) 540-4212
Entity
Organization
Contact information
Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 722-5411
(931) 722-6407
Mailing address
PO BOX 100054, ATLANTA, GA 30348-0054
(931) 381-1111
(931) 540-4294
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
0000000125
TN
282N00000X
General Acute Care Hospital
Primary
0000000125
TN
3336I0012X
Institutional Pharmacy
1866
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138156
PK
—
05
—
Q017785
—
TN
Enumeration date
07/05/2006
Last updated
06/03/2025
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