Vanderbilt Coffee Hospital, LLC

Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Tullahoma, TN

NPI 1891385316 · NPPES record last updated Aug 16, 2021

Key facts

NPI
1891385316
Entity type
Organization (NPI type 2)
Primary specialty
Medicare Defined Swing Bed Hospital Unit 275N00000X
Legal business name
VANDERBILT COFFEE HOSPITAL, LLC
Practice address
1801 N Jackson St
Tullahoma, TN 37388-8259
Phone
(931) 393-3000
NPI assigned
Jan 19, 2021
Organization subpart
No

Authorized official

Name
Angela L Simmons
Title
VP - Finance
Phone
(615) 936-8875

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Vanderbilt Coffee Hospital LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Yes

Addresses

Primary practice location

1801 N Jackson St
Tullahoma, TN 37388-8259

Mailing address

719 Thompson LN Ste 30330
Nashville, TN 37204-4701

Other names

  • Vanderbilt Tullahoma-Harton Hospital Doing business as

Other providers in Tullahoma, TN

All providers in Tullahoma, TN · Medicare Defined Swing Bed Hospital Unit in Tennessee

Sources for this page

Verify at the official NPI Registry.