MAURY REGIONAL HOSPITAL NPI 1073156410

NPI Information

NPI: 1073156410
Provider Name: MAURY REGIONAL HOSPITAL
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 44D2043626

Address:
200 S CROSS BRIDGES RD
MT PLEASANT, TN
ZIP 38474
Phone: (931) 379-5821
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MAURY REGIONAL HOSPITAL is a federally qualified health center (fqhc) clinic center in Mt Pleasant, TN. MAURY REGIONAL HOSPITAL NPI is 1073156410. The provider is registered as an organization entity type.

The provider's business location address is:

200 S CROSS BRIDGES RD
MT PLEASANT, TN
ZIP 38474-714
Phone: (931) 379-5821

The provider's authorized official is Pamela L Dawson .
The authorized official title is Physician Credentialing and has the following contact phone number (931) 490-7019.

The CLIA number assigned to this NPI record is 44D2043626 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2019 and was last updated on 10/17/2019.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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: 11/14/2023

NPI Synchronization or Removal

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