Bolivar General Hospital, Inc.
Organization Active NPI General Acute Care Hospital · Bolivar, TN
NPI 1174545446 · NPPES record last updated Oct 30, 2025
Key facts
- NPI
- 1174545446
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- BOLIVAR GENERAL HOSPITAL, INC.
- Practice address
- 650 Nuckolls Rd
Bolivar, TN 38008-1532 - Phone
- (731) 658-3100
- Fax
- (731) 658-7890
- NPI assigned
- Jul 24, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BOLIVAR GENERAL HOSPITAL INC
Authorized official
- Name
- Karen Utley
- Title
- Vice President
- Phone
- (731) 425-6733
Corporate family (same tax ID) 1
Practitioners 101
-
Wyatt Robert Algee, M.D.
-
Misty Allen, M.D.
-
Patrick N Andre, MD
-
Maria Caroline Antique, M.D.
-
Allyson Anyanwu, M.D.
-
Festus N Arinze, M.D.
-
Timothy Elbert Ashmore, M.D.
-
Samuel Olaniyi Bada, M.D.
-
William Ryan Bartz, D.O.
-
Russell D. Beis, M.D.
-
John Lee Blankenship, M.D.
-
William E Burch, MD
-
Gloria Ann Burns, MD
-
William Raymond Carney, M.D.
-
Kelvin L. Douglas, M.D.
-
Ira Keith Ellis, MD
-
James Lee Ellis Jr., M.D.
-
Adam P English, D.O.
-
Mario Figueroa, MD
-
Mark W Fowler, M.D.
-
Daniel R Fox, MD
National Provider Directory
- Tax ID family
- Bolivar General Hospital
- Part of
- Bolivar General Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes | ||
| Critical Access Hospital | 282NC0060X | |||
| Children's Hospital | 282NC2000X | |||
| Rural Acute Care Hospital | 282NR1301X | |||
| Women's Hospital | 282NW0100X |
Addresses
Primary practice location
650 Nuckolls Rd
Bolivar, TN 38008-1532
Mailing address
257 Bancorp South Pkwy
Jackson, TN 38305-7582
Other names
- Bolivar ER
Other providers in Bolivar, TN
- Hannah Black
- John Lee Blankenship
- Louis E Bogard
- Bolivar Assisted Care Living, LLC
- Bolivar General Hospital Pharmacy
- Bolivar General Hospital, Inc.
- Bolivar General Hospital, Inc.
- Bolivar General Hospital, Inc.
- Bolivar Health & Rehabilitation LLC
- Bolivar Medical Clinic
All providers in Bolivar, TN · General Acute Care Hospital in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.