Organization
CAMPBELL COUNTY HMA, LLC
Active
Other names
Tennova Healthcare-LaFollette Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
923 E CENTRAL AVE, LAFOLLETTE, TN 37766-2055
(423) 907-1200
(423) 907-1189
Mailing address
923 E CENTRAL AVE, LAFOLLETTE, TN 37766-2055
(423) 907-1200
(423) 907-1163
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0000000008
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044U033
—
TN
Enumeration date
11/17/2005
Last updated
03/29/2021
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