Provider Type Icon

CROCKETT HOSPITAL LLC NPI 1720212038


NPI Information

NPI: 1720212038
Provider Name: CROCKETT HOSPITAL, LLC

Doing Business As: SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCEBURG

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
1607 S LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464
Phone: (931) 762-6571
Get Directions

CROCKETT HOSPITAL, LLC is a medicare defined swing bed unit in Lawrenceburg, TN. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. CROCKETT HOSPITAL, LLC NPI is 1720212038. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Tennessee Regional Health System Lawrenceburg.

The provider's business location address is:

1607 S LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464-011
Phone: (931) 762-6571
Fax: (931) 766-3339

The provider's authorized official is Terrance Dillon .
The authorized official title is Assistant Secretary and has the following contact phone number (502) 596-7220.

The enumeration date for this NPI number is 5/14/2009 and was last updated on 4/26/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1275N00000XMedicare Defined Swing Bed UnitTENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.