Basic Information
| Provider Information | |||||||||
| NPI: | 1700267218 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SAINT THOMAS STONES RIVER HOSPITAL, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 102 WOODMONT BLVD | ||||||||
| Address2: | STE 800 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372052287 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152846826 | ||||||||
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| Practice Location | |||||||||
| Address1: | 324 DOOLITTLE RD | ||||||||
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| City: | WOODBURY | ||||||||
| State: | TN | ||||||||
| PostalCode: | 371901139 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6155634001 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2015 | ||||||||
| LastUpdateDate: | 08/11/2020 | ||||||||
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| AuthorizedOfficialLastName: | DAVIS | ||||||||
| AuthorizedOfficialFirstName: | LISA | ||||||||
| AuthorizedOfficialMiddleName: | R | ||||||||
| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 6152846845 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | Y | Hospital Units | Psychiatric Unit |
No ID Information.