Provider Demographics
NPI:1912997024
Name:MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION
Entity Type:Organization
Organization Name:MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION
Other - Org Name:MORRISTOWN HAMBLEN HEALTHCARE SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP REVENUE CYCLE
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:865-374-3090
Mailing Address - Street 1:P.O. BOX 1178
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37816-1178
Mailing Address - Country:US
Mailing Address - Phone:423-586-4231
Mailing Address - Fax:423-318-2452
Practice Address - Street 1:908 WEST FOURTH NORTH STREET
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3894
Practice Address - Country:US
Practice Address - Phone:423-586-4231
Practice Address - Fax:423-318-2452
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COVENANT HEALTH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-10-28
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000073282N00000X
291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN440030Medicare Oscar/Certification