Provider Demographics
NPI:1023061520
Name:SRHS HOLDINGS LLC
Entity type:Organization
Organization Name:SRHS HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SENIOR VP OF FINANCE & CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WILHOITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-328-6695
Mailing Address - Street 1:555 HARTSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-2400
Mailing Address - Country:US
Mailing Address - Phone:615-328-6695
Mailing Address - Fax:615-328-6698
Practice Address - Street 1:158 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TN
Practice Address - Zip Code:37030-1083
Practice Address - Country:US
Practice Address - Phone:615-735-1560
Practice Address - Fax:615-735-5118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SRHS HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-18
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000130282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0432599OtherHEALTH SPRINGS
TN4119897OtherTENNCARE BLUECARE
TN432599OtherHEALTH SPRING
TN0440186Medicaid
TN4119897OtherBC OF TN COMMERCIAL
TN4119897OtherTENNCARE SELECT
TNA3703000OtherTENNCARE AMERICHOICE
TNA3703000OtherTENNCARE AMERICHOICE