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State Of Tennessee-western Mental Health Institute
Psychiatric Hospital in Bolivar, Tennessee
NPI 1538114020

State Of Tennessee-western Mental Health Institute is a Psychiatric Hospital based in Bolivar, TN. State Of Tennessee-western Mental Health Institute practices in Bolivar, TN. The NPI Number for State Of Tennessee-western Mental Health Institute is 1538114020 and holds a License No. L216-075-1114 (Tennessee).

The current practice location address for State Of Tennessee-western Mental Health Institute is 11100 Highway 64, Bolivar, TN and can be reached out via phone at 731-228-2000 and via fax at 731-658-9822.

Location: 11100 Highway 64, Bolivar, TN, 38008-1554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538114020
Provider Name
State Of Tennessee-western Mental Health Institute
Credential
Provider Entity Type
Organization
Address
11100 Highway 64, Bolivar, TN, 38008-1554
Phone Number
731-228-2000
Fax Number
731-658-9822
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10796/2003053 01 TN BLUE CROSS/BLUE SHIELD
444008/3282236 05 TN
institution
Provider Business Practice Location Address Details
Address
11100 Highway 64
City
Bolivar
State
Tennessee
Zip
38008-1554
Phone Number
731-228-2000
Fax Number
731-658-9822
person
Provider Business Mailing Address Details
Address
11100 Highway 64
City
Bolivar
State
Tennessee
Zip
38008-1554
Phone Number
731-228-2000
Fax Number
731-658-9822
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
L216-075-1114 (Tennessee)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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