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Contact Information

SWEETWATER HOSPITAL ER PHYSICIAN GROUP
304 WRIGHT ST
SWEETWATER, TN37874
 Phone: 865-213-8200
 Fax: 865-213-8596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SWEETWATER HOSPITAL ER PHYSICIAN GROUP

NPI Number 1083613905
LBN Legal business name SWEETWATER HOSPITAL ER PHYSICIAN GROUP
Authorized official DEBBIE THOMPSON - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 07/21/2005
Last updated 06/06/2018 - About 8 years ago
Identifiers
TN License # 0000000089
TN Medicaid 3280256
Other 1000280 BLUE CROSS OF TN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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