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BOLIVAR GENERAL HOSPITAL INC. NPI 1538634050


NPI Information

NPI: 1538634050
Provider Name: BOLIVAR GENERAL HOSPITAL, INC.

Doing Business As: WEST TENNESSEE MEDICAL GROUP PRIMARY CARE BOLIVAR

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 44D0700807

Address:
640 NUCKOLLS RD
BOLIVAR, TN
ZIP 38008
Phone: (731) 658-3100
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BOLIVAR GENERAL HOSPITAL, INC. is a family medicine in Bolivar, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BOLIVAR GENERAL HOSPITAL, INC. NPI is 1538634050. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Tennessee Medical Group Primary Care Bolivar.

The provider's business location address is:

640 NUCKOLLS RD
BOLIVAR, TN
ZIP 38008-532
Phone: (731) 658-3100

The provider's authorized official is James Ross .
The authorized official title is President And Ceo and has the following contact phone number (731) 512-1277.

The CLIA number assigned to this NPI record is 44D0700807 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/11/2018 and was last updated on 1/22/2019.


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
1207Q00000XFamily MedicineYes

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

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