| Takoma Regional Hospital, Inc. | |
|
1021 Coolidge St Ste 5 Greeneville TN 37743-4692 | |
| (423) 636-0700 | |
| (423) 224-1983 |
| Full Name | Takoma Regional Hospital, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1021 Coolidge St Ste 5, Greeneville, Tennessee |
| Authorized Official Name and Position | Gregory Lee Wilgocki (VP REIMBURSEMENT) |
| Authorized Official Contact | 4234315794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Takoma Regional Hospital, Inc. 509 Med Tech Pkwy Ste 100 Johnson City TN 37604-2579 Ph: (423) 952-2111 | Takoma Regional Hospital, Inc. 1021 Coolidge St Ste 5 Greeneville TN 37743-4692 Ph: (423) 636-0700 |
| NPI Number | 1821619560 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821619560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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