Bolivar General Hospital, Inc.

NPI #1538634050 in Bolivar, Tennessee

Provider Information

NPI Number: 1538634050
Entity Type: Organization
Organization Name: Bolivar General Hospital, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BOLIVAR GENERAL HOSPITAL, INC.
Primary Specialty: Family Medicine
Enumeration Date: Oct 11, 2018
Last Updated: Jan 22, 2019

Practice Location

Address: 640 NUCKOLLS RD
City: Bolivar
State: Tennessee
ZIP Code: 38008-1532
Phone: (731) 658-3100

Authorized Official

Name: JAMES ROSS
Title: PRESIDENT AND CEO
Phone: (731) 512-1277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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