Provider Demographics
NPI:1437326964
Name:RIVER PARK HOSPITALISTS, LLC
Entity Type:Organization
Organization Name:RIVER PARK HOSPITALISTS, LLC
Other - Org Name:RIVER PARK ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WIECHART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-764-3000
Mailing Address - Street 1:PO BOX 743006
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3006
Mailing Address - Country:US
Mailing Address - Phone:866-214-8600
Mailing Address - Fax:678-954-6908
Practice Address - Street 1:1559 SPARTA STREET
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1316
Practice Address - Country:US
Practice Address - Phone:931-815-4000
Practice Address - Fax:931-815-4710
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVER PARK HOSPITALISTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-14
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty