| NPI | 1114564432 |
|---|---|
| Doing Business As | TENNOVA NEWPORT-4TH STREET |
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2021-03-31 |