Organization
TAKOMA HOSPITAL & SANITARIUM TRAINING SCHOOL, INC.
Active
Other names
Takoma Adventist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
BLIN RICHARDS (CFO)
(423) 636-2376
Entity
Organization
Contact information
Practice address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 639-3151
(423) 636-2374
Mailing address
401 TAKOMA AVE, GREENEVILLE, TN 37743-4647
(423) 639-3151
(423) 636-2374
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
0000000054
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000393
TC TENNCARE SELECT
TN
01
—
3278734
MEDICARE PART B GROUP #
TN
01
—
3924507
MEDICARE LCSW GROUP
TN
05
—
440050
—
TN
01
—
A3774301
MEDICARE MANAGED CARE
TN
01
—
A3774401
JOHN DEERE HEALTH PLAN
TN
Enumeration date
07/19/2006
Last updated
04/20/2008
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