| Skyridge Medical Center | |
|
2800 Westside Dr Nw Cleveland TN 37312-3501 | |
| (423) 339-4100 | |
| (423) 339-4372 |
| Full Name | Skyridge Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2800 Westside Dr Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | William Hussey (SENIOR VP, GROUP OPERATIONS) |
| Authorized Official Contact | 8883739600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Skyridge Medical Center Po Box 198029 Atlanta GA 30384-8029 Ph: () - | Skyridge Medical Center 2800 Westside Dr Nw Cleveland TN 37312-3501 Ph: (423) 339-4100 |
| NPI Number | 1831160753 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 10/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831160753 | NPI | - | NPPES |
| 0440185 | Medicaid | TN | |
| 0037608 | Other | BCBS | |
| 373120002 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0000000006 (Tennessee) | Primary |
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