Provider Demographics
NPI:1285644237
Name:SUMNER REGIONAL HEALTH SYSTEMS, INC
Entity Type:Organization
Organization Name:SUMNER REGIONAL HEALTH SYSTEMS, INC
Other - Org Name:SUMNER REGIONAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WILHOITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-328-6695
Mailing Address - Street 1:555 HARTSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2400
Mailing Address - Country:US
Mailing Address - Phone:615-328-6695
Mailing Address - Fax:615-328-6698
Practice Address - Street 1:555 HARTSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-2400
Practice Address - Country:US
Practice Address - Phone:615-328-6695
Practice Address - Fax:615-328-6698
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMNER REGIONAL HEALTH SYSTEMS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-08-09
Last Update Date:2009-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000116282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN7036OtherTENNCARE TLC FAMILY CARE
IN100276000AMedicaid
KY01600618Medicaid
TN1000186OtherTENNCARE BLUE CROSS
TN1000186OtherTENNCARE SELECT
KY1065907OtherKY MEDICAID PASSPORT HLTH
TN6530305OtherAETNA COM & PPO
TN0489927OtherAETNA HM
TN0440003OtherTENNCARE VHP COMMUNITY
TN1000186OtherBLUE CROSS
0699993OtherCIGNA COMMERCIAL
TN165684500OtherUS DEPT OF LABOR WC
TN0440003OtherTENNCARE PHP
TN0440003Medicaid
TN3259007OtherMEDICARE ID-TYPE UNSPECIFIED
TNA3722900OtherTENNCARE AMERI CHOICE
TN0401002OtherHEALTHSPRINGS
TN5000404OtherUNITED HEALTHCARE
TN0489927OtherAETNA HM
TN6530305OtherAETNA COM & PPO
TN0440003Medicaid