Organization Name: | NORTHCREST MEDICAL CENTER |
NPI Number: | 1699850180 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SCOTT RAYNES (CEO PRESIDENT) |
Mailing Address: | 101e Mooreland Drive Springfield |
State: | TN US |
Postal Code: | 371723974 |
Phone Number: | 6153849425 |
Fax Number: | 6153849468 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 0000000521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |