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COPPER BASIN COMMUNITY HOSPITAL INC. NPI 1437203155


NPI Information

NPI: 1437203155
Provider Name: COPPER BASIN COMMUNITY HOSPITAL INC.

Doing Business As: ED COPPER BASIN MEDICAL CENTER

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
144 MEDICAL CENTER DRIVE
COPPERHILL, TN
ZIP 37317
Phone: (423) 496-5511
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COPPER BASIN COMMUNITY HOSPITAL INC. is an emergency medicine in Copperhill, TN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. COPPER BASIN COMMUNITY HOSPITAL INC. NPI is 1437203155. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ed Copper Basin Medical Center.

The provider's business location address is:

144 MEDICAL CENTER DRIVE
COPPERHILL, TN
ZIP 37317-144
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 1/22/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13281513MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEMEDICARE FACILITY
2300040218AMEDICAIDGEORGIA
30000000094OTHERTENNESSEEHEALTH CARE FACILITIES

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

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