Organization
UNICOI COUNTY MEMORIAL HOSPITAL INC
Active
Other names
UNICOI COUNTY MEMORIAL HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
BILLY MOORE DPH (DIR PHCY SVCS)
(423) 743-1272
Entity
Organization
Contact information
Practice address
100 GREENWAY CIR, ERWIN, TN 37650-2177
(423) 743-1229
(423) 743-2816
Mailing address
100 GREENWAY CIR, ERWIN, TN 37650-2177
(423) 743-1229
(423) 743-2816
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
1374
TN
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445077
—
TN
01
—
4414087
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7440197
—
TN
Enumeration date
01/30/2007
Last updated
12/20/2011
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