| Ascension Saint Thomas Hickman | |
|
1518 Highway 100 Centerville TN 37033-2014 | |
| (931) 729-3091 | |
| Not Available |
| Full Name | Ascension Saint Thomas Hickman |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1518 Highway 100, Centerville, Tennessee |
| Authorized Official Name and Position | Lisa R Davis (CFO) |
| Authorized Official Contact | 6152846845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Saint Thomas Hickman 135 E Swan St Centerville TN 37033-1417 Ph: (931) 729-6784 | Ascension Saint Thomas Hickman 1518 Highway 100 Centerville TN 37033-2014 Ph: (931) 729-3091 |
| NPI Number | 1790372027 |
|---|---|
| Provider Enumeration Date | 12/21/2020 |
| Last Update Date | 12/21/2020 |
| Certification Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790372027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Life Source of Centerville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 132a N Central Ave, Centerville, TN 37033 Phone: 931-729-4001 Fax: 931-729-4081 |
Dermal Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Central Ave, Centerville, TN 37033 Phone: 931-729-0012 Fax: 931-729-0012 |
Ascension Saint Thomas Hickman Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 E Swan Street, Centerville, TN 37033 Phone: 931-729-3091 Fax: 931-729-0809 |