Basic Information
Provider Information
NPI: 1770035099
EntityType: 2
ReplacementNPI:  
OrganizationName: HH HEALTH SYSTEM - TENNESSEE
LastName:  
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Mailing Information
Address1: PO BOX 2705
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 358042705
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 101 SIVLEY RD SW
Address2:  
City: HUNTSVILLE
State: AL
PostalCode: 358014421
CountryCode: US
TelephoneNumber: 2562651000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/03/2016
LastUpdateDate: 11/03/2016
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: POWERS
AuthorizedOfficialFirstName: KELLI
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AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 2562658874
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: HEALTHCARE AUTHORITY OF THE CITY OF HUNTSVILLE
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X  Y HospitalsGeneral Acute Care Hospital 

No ID Information.


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