Organization
JEFFERSON COUNTY HMA, LLC
Active
Other names
Tennova Healthcare-Jefferson Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
110 HOSPITAL DR, JEFFERSON CITY, TN 37760-5281
(865) 471-2500
(865) 471-2450
Mailing address
110 HOSPITAL DR, JEFFERSON CITY, TN 37760-5281
(865) 471-2500
(865) 471-2450
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0000000038
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044U056
—
TN
Enumeration date
11/11/2005
Last updated
04/08/2021
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