HCA HEALTH SERVICES OF TENNESSEE, INC.

Provider Demographics

• NPI: 1982650024
• 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 - First Name: TIMOTHY
• Authorized Official - Last Name: STANFILL
• Authorized Official - Phone: 615-316-4904
• Mailing Address - Street 1: 5655 FRIST BLVD
• 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 - 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?: No
• Enumeration Date: 2006-05-26
• Last Update Date: 2021-06-02

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	282N00000X	Hospitals	General Acute Care Hospital

Provider Identifiers

State	Identifier ID	ID Type	Issuer
WV	0172669000	Medicaid
MS	08171261	Medicaid
AR	149781105	Medicaid
IN	200015240A	Medicaid
GA	000737063X	Medicaid
TN	0440150	Medicaid
OH	0606517	Medicaid
	0410779	Other	HEALTHSPRING
SC	11328B	Medicaid
TX	072850301	Medicaid
MI	30-4674328	Medicaid
FL	910618900	Medicaid
VA	004401506	Medicaid
NY	01555962	Medicaid
DE	100033559	Medicaid
MN	728323700	Medicaid
MO	013187406	Medicaid
KY	01621101	Medicaid
NE	10025122600	Medicaid
NJ	4215206	Medicaid
NC	4400150	Medicaid
	5000406	Other	UNITED HEALTHCARE
AZ	785983	Medicaid
ID	807163700	Medicaid
LA	1767999	Medicaid
WA	3018074	Medicaid
	1000112	Other	BLUE CROSS
AL	SUM0150N	Medicaid
CA	XHSP40123	Medicaid
IL	=========002	Medicaid
UT	=========002	Medicaid
MN	728323700	Medicaid