Organization Active NPI

Unicoi County Memorial Hospital

  • General Acute Care Hospital
  • Erwin, TN
National Provider Identifier
1003144494
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UNICOI COUNTY MEMORIAL HOSPITAL
Practice address
100 Greenway Cir
Erwin, TN 37650-2177
Phone
(423) 743-3141
Fax
(423) 743-2887
NPI assigned
Nov 24, 2009
Organization subpart
Yes
Parent organization
UNICOI COUNTY MEMORIAL HOSPITAL,INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jim Pate
Title
Ceo
Phone
(423) 743-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

100 Greenway Cir
Erwin, TN 37650-2177

Mailing address

100 Greenway Cir
Erwin, TN 37650-2177
Phone (423) 743-3141

Other identifiers 1

IdentifierTypeStateIssuer
3610099OtherTNMEDICARE PTAN

National Provider Directory

National Provider Directory
Part of
Unicoi County Memorial H

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1003144494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502177",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502177",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICOI COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNICOI COUNTY MEMORIAL HOSPITAL,INC",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-743-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3610099",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.