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Contact Information

ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.
200 TORREY RD
LAFOLLETTE, TN37766-2728
 Phone: 423-907-1379
 Fax: 423-907-1189
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.

NPI # 1689749749
LBN Legal business name ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.
Authorized official ANGEL JIMENEZ - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/22/2006
Last updated 09/21/2010 - About 16 years ago
Identifiers
TN Medicaid 1452065
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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