St. Mary'S Holston Health And Rehabilitation Center, Inc.

LBN: St. Mary'S Holston Health And Rehabilitation Center, Inc.
St. Mary'S Holston Health And Rehabilitation Center, Inc. is an health care organization with primary practice located at 3916 Boyds Bridge Pike , Knoxville TN 37914-6233. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. St. Mary'S Holston Health And Rehabilitation Center, Inc. can be contacted via phone (865) 524-1500, or through Jimenez, Angel David via phone (865) 545-7558.

Contact Information

Primary practice address
3916 Boyds Bridge Pike Knoxville TN 37914-6233
Phone: (865) 524-1500
Fax: (865) 524-0408
Website:
Map and Directions
Authorized official contact:
Name: Jimenez, Angel David
Phone: (865) 545-7558

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0000000333 Tennessee

Profile Details

NPI number 1083752901
LBN Legal business name St. Mary'S Holston Health And Rehabilitation Center, Inc.
DBA Doing business as
Authorized official Jimenez, Angel David
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Dec 2nd, 2009 - about 16 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 1083752901 NPPES
Tennessee MEDICAID 7440572

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