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Contact Information

WOODS MEMORIAL HOSPITAL PHCY
886 HIGHWAY 411 N
ETOWAH, TN37331-1912
 Phone: 423-263-3651
 Fax: 423-263-3776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WOODS MEMORIAL HOSPITAL PHCY

NPI Number 1407869746
LBN Legal business name WOODS MEMORIAL HOSPITAL PHCY
Authorized official GREGORY GREEN - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/15/2006
Last updated 11/25/2008 - About 18 years ago
Identifiers
TN License # 1269
TN Medicaid 440054
Other 4414075 NCPDP PROVIDER IDENTIFICATION NUMBER
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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