COPPER BASIN COMMUNITY HOSPITAL INC NPI 1750363115

NPI Information

COPPER BASIN COMMUNITY HOSPITAL INC is a critical access general acute care hospital in Copperhill, TN. The provider is definition to come. COPPER BASIN COMMUNITY HOSPITAL INC NPI is 1750363115. The provider is registered as an organization entity type.
The provider Is Doing Business As Copper Basin Medical Center.

The provider's business location address is:

144 MEDICAL CENTER DRIVE
COPPERHILL, TN
ZIP 37317
Phone: (423) 496-5511
Fax: (423) 496-9311

The provider's authorized official is Daniel C Johnson .
The authorized official title is Ceo and has the following contact phone number (423) 496-5511.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 5/19/2017.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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