Provider Demographics
NPI:1699754812
Name:HARDIN COUNTY GENERAL HOSPITAL
Entity type:Organization
Organization Name:HARDIN COUNTY GENERAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:731-926-8000
Mailing Address - Street 1:935 WAYNE ROAD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372
Mailing Address - Country:US
Mailing Address - Phone:731-926-8000
Mailing Address - Fax:731-926-8157
Practice Address - Street 1:935 WAYNE ROAD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372
Practice Address - Country:US
Practice Address - Phone:731-926-8000
Practice Address - Fax:731-926-8157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-16
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000061282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0440109Medicaid
TN3274462Medicare ID - Type UnspecifiedMEDICARE PART B CARRIER
TN440109Medicare Oscar/Certification
TN0440109Medicaid
TN44U109Medicare Oscar/Certification
TN0951280002Medicare NSC
TN447264Medicare ID - Type UnspecifiedHOME HEALTH NUMBER