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MAURY REGIONAL HOSPITAL NPI 1528665452


NPI Information

NPI: 1528665452
Provider Name: MAURY REGIONAL HOSPITAL
Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 44D0882921

Address:
103 JV MANGUBAT DR
WAYNESBORO, TN
ZIP 38485
Phone: (952) 653-2525
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MAURY REGIONAL HOSPITAL is a non pharmacy dispensing site in Waynesboro, TN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MAURY REGIONAL HOSPITAL NPI is 1528665452. The provider is registered as an organization entity type.

The provider's business location address is:

103 JV MANGUBAT DR
WAYNESBORO, TN
ZIP 38485-440
Phone: (952) 653-2525
Fax: (952) 653-2540

The provider's authorized official is Paul Bratton Betz .
The authorized official title is Authorized Official and has the following contact phone number (205) 759-7147.

The CLIA number assigned to this NPI record is 44D0882921 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 10/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332900000XNon-Pharmacy Dispensing SiteYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.