| Organization Name: | COPPER BASIN COMMUNITY HOSPITAL INC |
| NPI Number: | 1750363115 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FELICIA DEAL (ACCOUNTING MANAGER) |
| Mailing Address: | 144 Medical Center Drive Copperhill |
| State: | TN US |
| Postal Code: | 37317 |
| Phone Number: | 4234965511 |
| Fax Number: | 4234969311 |
| NPI Enumeration Date: | 11/18/2005 |
| NPI Last Update Date: | 02/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 0000000094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |