NPIMap

Organization Active NPI

Hma Fentress County General Hospital LLC

Doing business as Tennova Healthcare-Jamestown

  • Psychiatric Hospital Unit
  • Jamestown, TN
National Provider Identifier
1053648741
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
HMA FENTRESS COUNTY GENERAL HOSPITAL LLC
Doing business as
Tennova Healthcare-Jamestown
Practice address
436 Central Ave W
Jamestown, TN 38556-3031
Phone
(931) 879-8171
Fax
(931) 879-4896
NPI assigned
Nov 17, 2009
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HMA FENTRESS COUNTY GENERAL HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Paula Lalor
Title
Director/Delegated Official
Phone
(615) 925-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

436 Central Ave W
Jamestown, TN 38556-3031

Mailing address

PO Box 1500
Jamestown, TN 38556-1500
Phone (931) 879-8171

Other identifiers 1

IdentifierTypeStateIssuer
044S083MedicaidTN

Other names 1

  • Tennova Healthcare-Jamestown Doing business as

National Provider Directory

National Provider Directory
Part of
Hma Fentress Cty Gen Hos

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1053648741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1500",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385561500",
            "telephone_number": "931-879-8171",
            "fax_number": "931-879-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CENTRAL AVE W",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563031",
            "telephone_number": "931-879-8171",
            "fax_number": "931-879-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMA FENTRESS COUNTY GENERAL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HMA FENTRESS COUNTY GENERAL HOSPITAL LLC",
        "enumeration_date": "2009-11-17",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044S083",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Healthcare-Jamestown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.