Provider Demographics
NPI: | 1730813304 |
---|---|
Name: | HH HEALTH SYSTEM - LINCOLN INC |
Entity type: | Organization |
Organization Name: | HH HEALTH SYSTEM - LINCOLN INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | COO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MARY BETH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SEALS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 931-438-7469 |
Mailing Address - Street 1: | 106 MEDICAL CENTER BLVD |
Mailing Address - Street 2: | |
Mailing Address - City: | FAYETTEVILLE |
Mailing Address - State: | TN |
Mailing Address - Zip Code: | 37334-2684 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 931-438-1100 |
Mailing Address - Fax: | 931-438-7351 |
Practice Address - Street 1: | 1681 WINCHESTER HWY |
Practice Address - Street 2: | |
Practice Address - City: | FAYETTEVILLE |
Practice Address - State: | TN |
Practice Address - Zip Code: | 37334-2758 |
Practice Address - Country: | US |
Practice Address - Phone: | 931-433-7156 |
Practice Address - Fax: | 931-433-3721 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2022-07-11 |
Last Update Date: | 2022-07-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 314000000X | Nursing & Custodial Care Facilities | Skilled Nursing Facility |