Organization Name: | BOLIVAR GENERAL HOSPITAL, INC. |
NPI Number: | 1174545446 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN UTLEY (VICE PRESIDENT) |
Mailing Address: | 650 Nuckolls Rd Bolivar |
State: | TN US |
Postal Code: | 380081532 |
Phone Number: | 7316583100 |
Fax Number: | 7316587890 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |