| Saint Thomas River Park Hospital, Llc | |
|
120 Walnut Commons Ln Ste D Cookeville TN 38501-6037 | |
| (931) 526-5777 | |
| Not Available |
| Full Name | Saint Thomas River Park Hospital, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 Walnut Commons Ln Ste D, Cookeville, Tennessee |
| Authorized Official Name and Position | Candace Garrett (MANAGER OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 6152907184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Thomas River Park Hospital, Llc 300 20th Ave N Ste 403 Nashville TN 37203-5180 Ph: (615) 289-3257 | Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D Cookeville TN 38501-6037 Ph: (931) 526-5777 |
| NPI Number | 1437749678 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/21/2021 |
| Medicare PECOS PAC ID | 7214246156 |
|---|---|
| Medicare Enrollment ID | O20210324001060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437749678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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