| Tennova Healthcare-jamestown | |
|
436 Central Ave W Jamestown TN 38556-3031 | |
| (931) 879-8171 | |
| (931) 879-4896 |
| Full Name | Tennova Healthcare-jamestown |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 436 Central Ave W, Jamestown, Tennessee |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6159254565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennova Healthcare-jamestown Po Box 1500 Jamestown TN 38556-1500 Ph: (931) 879-8171 | Tennova Healthcare-jamestown 436 Central Ave W Jamestown TN 38556-3031 Ph: (931) 879-8171 |
| NPI Number | 1053648741 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053648741 | NPI | - | NPPES |
| 044S083 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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