National Provider Identifier Database

MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
Critical Access


Contact Information

MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
1080 N ELLINGTON PKWY
LEWISBURG, TN37091-2227
Phone: 931-359-6241
Fax: 931-270-3627
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Medicare Defined Swing Bed Unit 275N00000X

* Indicates primary specialty

NPI Profile & details for MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER

NPI Number 1578591756
Legal business name
LBN
MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
Authorized official GREGORY WHITLOCK - (VP FINANCE/IT)
Entity Organization
Organization subpart No
Enumeration date 06/28/2006
Last updated 06/03/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • TN License #: 0000000075
  • TN Medicaid: 0441309
  • TN Other: 1000189 BLUE CROSS BLUE SHIELD TN
  • TN Other: 0410172 HEALTHSPRING
  • TN Other: 1000189 TENNCARE SELECT PROVIDER

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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