| Ascension Saint Thomas Highlands | |
|
401 Sewell Dr Sparta TN 38583-1223 | |
| (931) 738-9211 | |
| Not Available |
| Full Name | Ascension Saint Thomas Highlands |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 401 Sewell Dr, Sparta, Tennessee |
| Authorized Official Name and Position | Lisa R Davis (CFO) |
| Authorized Official Contact | 6152846845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Saint Thomas Highlands 102 Woodmont Blvd Suite 800 Nashville TN 37205-2287 Ph: (615) 284-6826 | Ascension Saint Thomas Highlands 401 Sewell Dr Sparta TN 38583-1223 Ph: (931) 738-9211 |
| NPI Number | 1659752210 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 7618283623 |
|---|---|
| Medicare Enrollment ID | O20150915000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659752210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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