Organization · Type 2 NPI

Saint Thomas Hickman Hospital

Rural Health Clinic/Center · Centerville, TN

NPI number 1992718688 Active

Practice location

150 E Swan Street
Centerville, TN 37033

Call (931) 729-3091 Map

Fax (931) 729-0809

Mailing address

300 20th Ave N Ste 403
Nashville, TN 37203-5180

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Other rural health clinic/center providers in Centerville

Saint Thomas Hickman HospitalRural Health Clinic/Center Centerville, TN NPI 1790372027

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NPI record

NPI: 1992718688
Entity type: Organization (Type 2)
Issued: Aug 14, 2006
Last updated: Oct 27, 2022
Status: Active
Subpart: Yes of Saint Thomas Hickman Hospital

Other names

<unavail>
Ascension Saint Thomas Hickman Medical Clinic · doing business as
Hickman Medical Clinic · doing business as

Authorized official

Lisa R Davis
CFO
(615) 284-6845

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1992718688

Saint Thomas Hickman Hospital's National Provider Identifier is 1992718688, issued on Aug 14, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Centerville, TN. The record was last updated on Oct 27, 2022.