Provider Demographics
NPI:1720032345
Name:HCA HEALTH SERVICES OF TENNESSEE, INC.
Entity Type:Organization
Organization Name:HCA HEALTH SERVICES OF TENNESSEE, INC.
Other - Org Name:TRISTAR SOUTHERN HILLS MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-332-6160
Mailing Address - Street 1:391 WALLACE RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4851
Mailing Address - Country:US
Mailing Address - Phone:615-781-4000
Mailing Address - Fax:615-781-4113
Practice Address - Street 1:391 WALLACE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4851
Practice Address - Country:US
Practice Address - Phone:615-781-4000
Practice Address - Fax:615-781-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100102850AMedicaid
TX107814901Medicaid
CO95000139Medicaid
ALHOS0197NMedicaid
KY01621390Medicaid
WI80746300Medicaid
VA004401972Medicaid
SC10117AMedicaid
NC4400197Medicaid
AKHS934IPMedicaid
NY01260177Medicaid
TN0440197Medicaid
MS09602562Medicaid
AR115715105Medicaid
MI404608233Medicaid
5000048OtherUNITED HEALTHCARE
WV0168980000Medicaid
FL097488900Medicaid
1000172OtherBLUE CROSS
PA111154226Medicaid
AZ164666Medicaid
GA00372226XMedicaid
DE0302580Medicaid
VT040197Medicaid
IN100039600AMedicaid
NJ6075100Medicaid
MO012493003Medicaid
MD035695600Medicaid
IA0913236Medicaid
LA1747092Medicaid
NH2001569Medicaid
WA3005311Medicaid
MN004220000Medicaid
0401043OtherHEALTHSPRING
OH0672357Medicaid
MT4114630Medicaid
CAXHSP42162Medicaid
MI404608233Medicaid
CO95000139Medicaid
CO95000139Medicaid