Provider Demographics
NPI:1871757641
Name:WILLIAMSON COUNTY HOSPITAL DISTRICT
Entity type:Organization
Organization Name:WILLIAMSON COUNTY HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-790-7992
Mailing Address - Street 1:100 COVEY DR
Mailing Address - Street 2:SUITE 309
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5665
Mailing Address - Country:US
Mailing Address - Phone:615-790-7992
Mailing Address - Fax:615-790-8688
Practice Address - Street 1:100 COVEY DR
Practice Address - Street 2:SUITE 309
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5665
Practice Address - Country:US
Practice Address - Phone:615-790-7992
Practice Address - Fax:615-790-8688
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WILLIAMSON COUNTY HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-10
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN32849681Medicare PIN
TN3284969Medicare PIN
TN103I083732Medicare PIN