| Tristar Skyline Medical Center | |
|
500 Hospital Drive Madison TN 37115-5031 | |
| (615) 769-2000 | |
| (615) 769-7102 |
| Full Name | Tristar Skyline Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 500 Hospital Drive, Madison, Tennessee |
| Authorized Official Name and Position | Brad Schultz (CFO) |
| Authorized Official Contact | 6157697100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristar Skyline Medical Center 500 Hospital Drive Madison TN 37115-5031 Ph: (615) 769-2000 | Tristar Skyline Medical Center 500 Hospital Drive Madison TN 37115-5031 Ph: (615) 769-2000 |
| NPI Number | 1417086596 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 06/22/2012 |
| Medicare PECOS PAC ID | 5991613341 |
|---|---|
| Medicare Enrollment ID | O20061010000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417086596 | NPI | - | NPPES |
| 4139992 | Other | BCBS ADOLESCENT PSYCH | |
| 136908000 | Other | TN | TNCARE PREMIER/TBH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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