| Hillside Hospital Llc | |
| 1265 E College St Pulaski TN 38478-4541 | |
| (931) 363-7531 | |
| (931) 363-9303 | 
| Full Name | Hillside Hospital Llc | 
|---|---|
| Speciality | Psychiatric Unit | 
| Location | 1265 E College St, Pulaski, Tennessee | 
| Authorized Official Name and Position | Terrance Dillon (ASSISTANT SECRETARY) | 
| Authorized Official Contact | 5025967220 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hillside Hospital Llc 330 Seven Springs Way Brentwood TN 37027-4536 Ph: (615) 920-7000 | Hillside Hospital Llc 1265 E College St Pulaski TN 38478-4541 Ph: (931) 363-7531 | 
| NPI Number | 1023193968 | 
|---|---|
| Provider Enumeration Date | 10/26/2006 | 
| Last Update Date | 04/26/2022 | 
| Certification Date | 04/26/2022 | 
| Medicare PECOS PAC ID | 7911970322 | 
|---|---|
| Medicare Enrollment ID | O20070411000389 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023193968 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary | 
| Rodrick R. Gregory, M.d.,p.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 170 Locker Rd, Pulaski, TN 38478 Phone: 931-363-1414 Fax: 931-363-5743 | |
| Amg-hillside, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1265 E College St, Pulaski, TN 38478 Phone: 931-363-7531 |