Organization
TULLAHOMA HMA LLC
Active
Other names
Tennova Healthcare-Harton
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA M LALOR (DIRECTOR/DELEGATED OFFICIAL)
(615) 925-4565
Entity
Organization
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-7901
Mailing address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-7901
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
18
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4069340
BLUE CROSS
TN
05
—
4069340
—
TN
Enumeration date
05/22/2006
Last updated
08/22/2017
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