Provider Demographics
NPI:1033259924
Name:HARDIN COUNTY GENERAL HOSPITAL
Entity Type:Organization
Organization Name:HARDIN COUNTY GENERAL HOSPITAL
Other - Org Name:
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 RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-1937
Mailing Address - Country:US
Mailing Address - Phone:731-926-8173
Mailing Address - Fax:731-926-8143
Practice Address - Street 1:935 WAYNE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1937
Practice Address - Country:US
Practice Address - Phone:731-926-8173
Practice Address - Fax:731-926-8143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1102282NR1301X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4414669OtherNCPDP
4414669OtherNCPDP
TN0440109Medicare ID - Type UnspecifiedMEDICARE PROVIDER