Provider Demographics
NPI:1316379738
Name:HCA HEALTH SERVICES OF TENNESSEE, INC.
Entity Type:Organization
Organization Name:HCA HEALTH SERVICES OF TENNESSEE, INC.
Other - Org Name:TRISTAR SUMMIT MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANFILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-316-4902
Mailing Address - Street 1:5655 FRIST BLVD
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2053
Mailing Address - Country:US
Mailing Address - Phone:615-316-3000
Mailing Address - Fax:615-316-4912
Practice Address - Street 1:5655 FRIST BLVD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2053
Practice Address - Country:US
Practice Address - Phone:615-316-3000
Practice Address - Fax:615-316-4912
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA HEALTH SERVICE OF TENNESSEE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-08
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
44T150Medicare Oscar/Certification