Perry Community Hospital, Llc | |
2718 Squirrel Hollow Dr Linden TN 37096-3526 | |
(931) 589-2121 | |
(931) 589-3331 |
Full Name | Perry Community Hospital, Llc |
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Speciality | General Acute Care Hospital |
Location | 2718 Squirrel Hollow Dr, Linden, Tennessee |
Authorized Official Name and Position | Liane A Parker (ADMINISTRATOR) |
Authorized Official Contact | 9315892121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Perry Community Hospital, Llc 2718 Squirrel Hollow Dr Linden TN 37096-3526 Ph: (931) 589-2121 | Perry Community Hospital, Llc 2718 Squirrel Hollow Dr Linden TN 37096-3526 Ph: (931) 589-2121 |
NPI Number | 1558499483 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 05/07/2020 |
Certification Date | 05/07/2020 |
Medicare PECOS PAC ID | 2769465319 |
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Medicare Enrollment ID | O20040612000444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558499483 | NPI | - | NPPES |
0440040 | Medicaid | TN |
Provider Name | Kevin Turner |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518995208 PECOS PAC ID: 7416854260 Enrollment ID: I20031218000502 |
Provider Name | Kenneth Salhany |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1255302907 PECOS PAC ID: 4587650254 Enrollment ID: I20051018001179 |
Provider Name | William Brent Bush |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043310337 PECOS PAC ID: 5395834345 Enrollment ID: I20090812000954 |
Provider Name | Faramarz Ghanbari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225329139 PECOS PAC ID: 4880870120 Enrollment ID: I20110520000318 |
Provider Name | Andrea S Abbott |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588003842 PECOS PAC ID: 9032168174 Enrollment ID: I20131004000350 |
Expertus Recovery Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2718 Squirrel Hollow Dr, Linden, TN 37096 Phone: 931-589-8901 | |
Perry Community Hospital Geriatric Psych Unit Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2718 Squirrel Hollow Dr, Linden, TN 37096 Phone: 913-589-2121 Fax: 931-589-3331 |