Provider Demographics
NPI:1427127463
Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:KINDRED HOSPITALS LIMITED PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:TEAGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-253-5121
Mailing Address - Street 1:709 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37402-1916
Mailing Address - Country:US
Mailing Address - Phone:423-266-7721
Mailing Address - Fax:423-266-7516
Practice Address - Street 1:709 WALNUT ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37402-1916
Practice Address - Country:US
Practice Address - Phone:423-266-7721
Practice Address - Fax:423-266-7516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000069282E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282E00000XHospitalsLong Term Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1000020OtherBLUE CROSS
TN0442007Medicaid
TN1000020OtherBLUE CROSS
TN=========OtherUNITED HEALTHCARE
TN=========OtherCIGNA
TN0442007Medicaid
TN=========OtherUNITED HEALTHCARE