Organization
HERMITAGE MEDICAL INVESTORS, INC.
Active
Other names
Hermitage Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNIE BARKER (ADMINISTRATOR)
(423) 543-2571
Entity
Organization
Contact information
Practice address
1633 HILLVIEW DR, ELIZABETHTON, TN 37643-4115
(423) 543-2571
(423) 543-8533
Mailing address
1633 HILLVIEW DR, ELIZABETHTON, TN 37643-4115
(423) 543-2571
(423) 543-8533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0000000314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4090129
BLUE CROSS BLUE SHIELD
TN
05
—
7440541
—
TN
01
—
77546907
TPIN
TN
Enumeration date
09/29/2006
Last updated
08/04/2008
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