Provider Demographics
NPI:1750328852
Name:HCA HEALTH SERVICES OF TENNESSEE, INC.
Entity Type:Organization
Organization Name:HCA HEALTH SERVICES OF TENNESSEE, INC.
Other - Org Name:TRISTAR CENTENNIAL MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-342-1005
Mailing Address - Street 1:2300 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1538
Mailing Address - Country:US
Mailing Address - Phone:615-342-1000
Mailing Address - Fax:615-342-1045
Practice Address - Street 1:2300 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1538
Practice Address - Country:US
Practice Address - Phone:615-342-1000
Practice Address - Fax:615-342-1045
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HCA HEALTH SERVICES OF TENNESSEE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-31
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
6530980OtherAETNA (PSYCH)
TN1000166OtherMAGELLAN BLUE CROSS
TN184716000OtherTNCARE PREMIER/TBH
TN022768000OtherMAGELLAN PPO & HMO
44S161Medicare Oscar/Certification