National Provider Identifier Database

BOLIVAR GENERAL HOSPITAL INC
Critical Access


Contact Information

BOLIVAR GENERAL HOSPITAL, INC.
650 NUCKOLLS RD
BOLIVAR, TN38008-1532
Phone: 731-659-0218
Fax: 731-659-0259
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for BOLIVAR GENERAL HOSPITAL, INC.

NPI Number 1518957950
Legal business name
LBN
BOLIVAR GENERAL HOSPITAL, INC.
Authorized official TINA PRESCOTT - (PRESIDENT AND CEO)
Entity Organization
Organization subpart No
Enumeration date 10/26/2005
Last updated 10/14/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 0000000062
  • TN Medicaid: 0441320

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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