Unicoi County Memorial Hospital Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0000000275 Issued in TN

Legal business name

UNICOI COUNTY MEMORIAL HOSPITAL INC

Practice address

100 Greenway Circle
Erwin, TN 37650

Phone

(423) 743-3141

Fax

(423) 743-2890

NPI assigned

Feb 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jim Pate, LNHA

Title

Administrator

Phone

(423) 743-3141

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Unicoi County Nursing Home Doing business as

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1013983030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIRCLE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-2890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIRCLE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICOI COUNTY MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "423-743-3141",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "0000000275",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "0000000275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ICF",
            "identifier": "7440197",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445077",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unicoi County Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Unicoi Ambulance Service, Inc.
• Unicoi County Emergency Medical Services Inc.
• Unicoi County Family Practice
• Unicoi County Medical Services, Inc.
• Unicoi County Memorial Hospital
• Unicoi County Memorial Hospital Inc
• Unicoi County Memorial Hospital Inc
• Unicoi County Memorial Hospital Inc.
• Unicoi County Memorial Hospital,Inc
• Unicoi County Outpatient Rehab

• Skilled Nursing Facility in Erwin, TN
• Providers in Erwin, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.