Organization Name: | CROCKETT HOSPITAL LLC |
NPI Number: | 1114003175 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY G. SERAPHINE (PRESIDENT) |
Mailing Address: | 1607 S Locust Ave Lawrenceburg |
State: | TN US |
Postal Code: | 384644011 |
Phone Number: | 9317626571 |
Fax Number: | 9317663339 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | 0000000087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |