Provider Demographics
NPI:1205873320
Name:SRHS HOLDINGS LLC
Entity type:Organization
Organization Name:SRHS HOLDINGS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position: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:2006-05-31
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000130273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN44S186Medicare Oscar/Certification