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Organization

CLEVELAND TENNESSEE HOSPITAL COMPANY LLC

Active
Parent organization
NATIONAL HEALTHCARE OF CLEVELAND INC
Other names
Skyridge Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
NATIONAL HEALTHCARE OF CLEVELAND INC
Authorized official
WILLIAM HUSSEY (SENIOR VP, GROUP OPERATIONS)
(888) 373-9600
Entity
Organization

Contact information

Practice address
2800 WESTSIDE DR NW, CLEVELAND, TN 37312-3501
(423) 339-4100
(423) 339-4372
Mailing address
PO BOX 198029, ATLANTA, GA 30384-8029

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0000000006
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037608
BCBS
05
0440185
TN
01
373120002
CIGNA
Enumeration date
01/30/2006
Last updated
10/12/2009
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