Basic Information
| Provider Information | |||||||||
| NPI: | 1649727207 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MURFRESBORO VA HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3400 LEBANON PIKE | ||||||||
| Address2: | |||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37129 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158676000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3400 LEBANON PIKE | ||||||||
| Address2: | |||||||||
| City: | MURFREESBORO | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371291392 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6158676000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/01/2016 | ||||||||
| LastUpdateDate: | 09/01/2016 | ||||||||
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| AuthorizedOfficialLastName: | REBECCA | ||||||||
| AuthorizedOfficialFirstName: | PATE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF OF STAFF | ||||||||
| AuthorizedOfficialTelephone: | 6155097510 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | 47194 | TN | Y | Hospitals | Psychiatric Hospital |
No ID Information.