Organization
SAINT THOMAS HICKMAN HOSPITAL
Active
Parent organization
SAINT THOMAS HICKMAN HOSPITAL
Other names
Ascension Saint Thomas Hickman Medical Clinic, Hickman Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT THOMAS HICKMAN HOSPITAL
Authorized official
LISA R DAVIS (CFO)
(615) 284-6845
Entity
Organization
Contact information
Practice address
150 E SWAN STREET, CENTERVILLE, TN 37033
(931) 729-3091
(931) 729-0809
Mailing address
300 20TH AVE N STE 403, NASHVILLE, TN 37203-5180
(615) 289-3257
(615) 673-4541
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0443435
—
TN
01
—
3280569
MEDICARE PTAN
TN
01
—
4037834
BCBS PROF
TN
01
—
4057064
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/14/2006
Last updated
10/27/2022
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