Organization
MEMORIAL HOSPITAL, INC.
Active
Parent organization
MEMORIAL HOSPITAL, INC.
Other names
Sunbelt Homecare
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL, INC.
Authorized official
PAUL MERKLIN (CHIEF FINANCIAL OFFICER)
(606) 598-1035
Entity
Organization
Contact information
Practice address
149 HEALTH CARE LN, JELLICO, TN 37762-4433
(423) 784-2452
(423) 784-1184
Mailing address
149 HEALTH CARE LN, JELLICO, TN 37762-4433
(423) 784-1206
(423) 784-1136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00000000-16
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0447492
JOHN DEERE HEALTH
TN
01
—
087482900
FEDERAL BLACK LUNG
TN
01
—
100020437
PHP COMPANIES
TN
01
—
3075983
BLUECARE
TN
01
—
46166
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/09/2006
Last updated
01/13/2021
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