| Takoma Adventist Hospital | |
|
401 Takoma Ave Greeneville TN 37743-4647 | |
| (423) 639-3151 | |
| (423) 636-2374 |
| Full Name | Takoma Adventist Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 401 Takoma Ave, Greeneville, Tennessee |
| Authorized Official Name and Position | Blin Richards (CFO) |
| Authorized Official Contact | 4236362376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Takoma Adventist Hospital 401 Takoma Ave Greeneville TN 37743-4647 Ph: (423) 639-3151 | Takoma Adventist Hospital 401 Takoma Ave Greeneville TN 37743-4647 Ph: (423) 639-3151 |
| NPI Number | 1811915838 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811915838 | NPI | - | NPPES |
| A3774401 | Other | TN | TC JOHN DEERE MCAID |
| A3774301 | Other | TN | MEDICARE MANAGED CARE |
| 1000393 | Other | TN | BLUE CROSS |
| 3278734 | Other | TN | MEDICARE PART B GROUP # |
| A3774401 | Other | TN | JOHN DEERE HEALTH PLAN |
| 1000393 | Other | TN | TC BLUE CARE |
| 1000393 | Other | TN | TC TENNCARE SELECT |
| 4400050 | Medicaid | TN | |
| 3924507 | Other | TN | MEDICARE LCSW GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0000000054 (Tennessee) | Primary |
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