| Organization Name: | CAMPBELL COUNTY HMA LLC |
| NPI Number: | 1407838261 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURIE HOLTSFORD (AUTHORIZED OFFICIAL) |
| Mailing Address: | 905 E Central Ave Lafollette |
| State: | TN US |
| Postal Code: | 377662055 |
| Phone Number: | 4239071600 |
| Fax Number: | 4239071646 |
| NPI Enumeration Date: | 11/17/2005 |
| NPI Last Update Date: | 01/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 0000000008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |