BOLIVAR GENERAL HOSPITAL, INC.; NPI #1689665754

Contact Information

BOLIVAR GENERAL HOSPITAL, INC.

650 NUCKOLLS RD
BOLIVAR, TN 38008-1532

Phone: 731-658-3100
Fax: 731-659-0259
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medicare Defined Swing Bed Unit	275N00000X	A0[7]	Hospital-Swing Bed Approved

Indicates primary specialty

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NPI Profile & details for BOLIVAR GENERAL HOSPITAL, INC.

NPI Number 1689665754

LBN Legal business name BOLIVAR GENERAL HOSPITAL, INC.

Authorized official TINA PRESCOTT - (PRESIDENT AND CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/28/2005

Last updated 10/14/2024 - More than a year ago

Identifiers

TN	License #	0000000062
TN	Medicaid	044Z320

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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BOLIVAR GENERAL HOSPITAL, INC.

Contact Information

Specialty

Medicare Defined Swing Bed Unit

NPI Profile & details for BOLIVAR GENERAL HOSPITAL, INC.

Reviews for BOLIVAR GENERAL HOSPITAL, INC.