Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bolivar General Hospital, Inc

Organization Family Medicine Physician · NPI 1538634050

Bolivar General Hospital, Inc provides Family Medicine Physician services in Bolivar, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

640 Nuckolls Rd
Bolivar, TN 38008-1532
Phone: (731) 658-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1538634050
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBolivar General Hospital, Inc
Authorized official James Ross — President And Ceo · (731) 512-1277
Other names West Tennessee Medical Group Primary Care Bolivar
NPI enumeratedOctober 11, 2018
Last updated in NPPESJanuary 22, 2019
Mailing address620 Skyline Dr, Jackson, TN 38301-3923

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