Provider Demographics
NPI:1265445506
Name:WILLIAMSON COUNTY HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:WILLIAMSON COUNTY HOSPITAL DISTRICT
Other - Org Name:WILLIAMSON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, MANAGED CARE
Authorized Official - Prefix:MR
Authorized Official - First Name:REED
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCULLOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-435-5072
Mailing Address - Street 1:4321 CAROTHERS PARKWAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8542
Mailing Address - Country:US
Mailing Address - Phone:615-435-5072
Mailing Address - Fax:615-435-5885
Practice Address - Street 1:4321 CAROTHERS PARKWAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8542
Practice Address - Country:US
Practice Address - Phone:615-435-5072
Practice Address - Fax:615-435-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN128282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN440029Medicaid
TN440029Medicaid
3284968Medicare PIN