Organization · Type 2 NPI
Crockett Hospital LLC
Rural Health Clinic/Center · Loretto, TN
NPI number
1013574664
Active
Practice location
722 N Military St
Loretto, TN 38469-2336
Fax (931) 853-6974
Mailing address
330 Seven Springs Way, Atten: Provider Enrollment
Brentwood, TN 37027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
Other rural health clinic/center providers in Loretto
About NPI 1013574664
Crockett Hospital LLC's National Provider Identifier is 1013574664, issued on May 20, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Loretto, TN. The record was last updated on May 20, 2019.