NPIMap

Organization Active NPI

Blount Memorial Hospital, Inc.

Doing business as Blount Memorial Home Health Services

  • Home Infusion Agency
  • Maryville, TN
National Provider Identifier
1023004363
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion AgencyTaxonomy code 251F00000X
License
0336390001 Issued in TN
Legal business name
BLOUNT MEMORIAL HOSPITAL, INC.
Doing business as
Blount Memorial Home Health Services
Practice address
907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone
(865) 981-2172
Fax
(865) 981-2258
NPI assigned
Sep 22, 2005
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Mr. I Donald Heinemann II
Title
Chief Executive Officer
Phone
(865) 977-5533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Agency 251F00000X 0336390001 TN Primary

Addresses

Primary practice location

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015

Mailing address

1095 E Lamar Alexander Pkwy
Maryville, TN 37804-5134
Phone (865) 981-2160

Other identifiers 1

IdentifierTypeStateIssuer
0200139OtherTNBCBS PROVIDER NUMBER

Other names 1

  • Blount Memorial Home Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prisma Health-Blount Memorial Hospital Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1023004363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045134",
            "telephone_number": "865-981-2160",
            "fax_number": "865-981-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045015",
            "telephone_number": "865-981-2172",
            "fax_number": "865-981-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOUNT MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "HEINEMANN",
        "authorized_official_first_name": "I",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "865-977-5533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "TN",
            "license": "0336390001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0200139",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blount Memorial Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.