Organization
WHITE COUNTY COMMUNITY HOSPITAL LLC
Active
Other names
Highlands Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
S. RAY COFFEY (VP OF REIMBURSEMENT)
(615) 764-3009
Entity
Organization
Contact information
Practice address
401 SEWELL DR, SPARTA, TN 38583-1223
(931) 738-9211
Mailing address
PO BOX 100983, ATLANTA, GA 30384-0983
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0000000127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440192
—
TN
01
—
1000194
BCBS
—
01
—
5000033
UNITED HEALTHCARE
—
01
—
6221587742
CHAMPUS
—
01
—
HS75938
WALMART GROUP
—
01
—
UCH049
UNIVERSAL CARE
—
Enumeration date
02/01/2006
Last updated
09/25/2012
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