Active NPI
Jackson County Medical Center LLC
- Legal Medicine
- Gainesboro, TN
National Provider Identifier
1043497555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 15
- Legal business name
- JACKSON COUNTY MEDICAL CENTER LLC
- Practice address
- 603 S Murray St
Gainesboro, TN 38562-9376 - Phone
- (931) 268-5262
- NPI assigned
- Jan 28, 2008
- Last updated
- Sep 26, 2008
- Organization subpart
- Yes
- Parent organization
- RESTORATION HEALTHCARE OF CELINA LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tricia L Strong
- Title
- Cfo
- Phone
- (931) 243-3581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 15 | TN | Primary |
Addresses
Primary practice location
603 S Murray St
Gainesboro, TN 38562-9376
Mailing address
100 Old Jefferson Street
PO Box 427
Celina, TN 38551
Phone (931) 243-3581
National Provider Directory
National Provider Directory- Part of
- Cumberland River Hospital
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Carthage, TN
- NPI 1982914065
-
- Family Medicine Physician
- Celina, TN
- NPI 1992743322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1043497555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 OLD JEFFERSON STREET",
"address_2": "PO BOX 427",
"city": "CELINA",
"state": "TN",
"postal_code": "38551",
"telephone_number": "931-243-3581",
"fax_number": "931-243-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S MURRAY ST",
"city": "GAINESBORO",
"state": "TN",
"postal_code": "385629376",
"telephone_number": "931-268-5262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON COUNTY MEDICAL CENTER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RESTORATION HEALTHCARE OF CELINA LLC",
"enumeration_date": "2008-01-28",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "STRONG",
"authorized_official_first_name": "TRICIA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "931-243-3581",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "TN",
"license": "15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.