Provider Demographics
NPI:1215148945
Name:GREEN HILLS MEDICAL CENTER
Entity type:Organization
Organization Name:GREEN HILLS MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-661-8929
Mailing Address - Street 1:2001 GLEN ECHO RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2807
Mailing Address - Country:US
Mailing Address - Phone:615-292-0012
Mailing Address - Fax:615-292-8977
Practice Address - Street 1:2001 GLEN ECHO RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2807
Practice Address - Country:US
Practice Address - Phone:615-292-0012
Practice Address - Fax:615-292-8977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA98417Medicare UPIN
TN3721401Medicare ID - Type Unspecified