CROCKETT HOSPITAL LLC

LORETTO, TN
NPI1013574664
Doing Business AsLORETTO FAMILY CARE
Entity TypeOrganization
Authorized ContactKATHY TEAGUE
Secretary
615-920-7646
Organization Subpart ?No
Primary Taxonomy261QR1300X Clinic/Center, Rural Health
Additional Taxonomies207Q00000X Family Medicine
Enumeration Date2019-05-20
Last Update Date2019-05-20
Business Address
CROCKETT HOSPITAL LLC
722 N MILITARY ST
LORETTO, TN 38469-2336
Phone number: 931-853-6970
Mailing Address
CROCKETT HOSPITAL LLC
330 SEVEN SPRINGS WAY ATTEN: PROVIDER ENROLLMENT
BRENTWOOD, TN 37027
Phone number: 615-920-7782