Southern Tennessee Regional Health System Lawrenceburg

LBN: Crockett Hospital Llc
Southern Tennessee Regional Health System Lawrenceburg is an health care organization with primary practice located at 1607 S Locust Ave , Lawrenceburg TN 38464-4011. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Crockett Hospital Llc can be contacted via phone (931) 762-6571, or through Dillon, Terrance via phone (502) 596-7220.

Contact Information

Primary practice address
1607 S Locust Ave Lawrenceburg TN 38464-4011
Phone: (931) 762-6571
Fax: (931) 766-3339
Website:
Map and Directions
Authorized official contact:
Name: Dillon, Terrance
Phone: (502) 596-7220

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 0000000087 Tennessee

Profile Details

NPI number 1114003175
LBN Legal business name Crockett Hospital Llc
DBA Doing business as Southern Tennessee Regional Health System Lawrenceburg
Authorized official Dillon, Terrance
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Apr 26th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114003175 NPPES
Tennessee MEDICAID 0440175
Tennessee MEDICAID HOS0175N
Tennessee MEDICAID 000171091X
Tennessee MEDICAID 1762067
Tennessee MEDICAID 09400008

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