NPIMap

Organization Active NPI

Tullahoma Hma, LLC

Doing business as Harton Regional Medical Center

  • Specialist
  • Tullahoma, TN
National Provider Identifier
1063456770
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0000000018 Issued in TN
Legal business name
TULLAHOMA HMA, LLC
Doing business as
Harton Regional Medical Center
Practice address
1801 N Jackson St
Tullahoma, TN 37388-2201
Phone
(931) 393-7901
Fax
(931) 393-7855
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Sherry Mallette
Title
Office Manager
Phone
(800) 853-4570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0000000018 TN Primary

Addresses

Primary practice location

1801 N Jackson St
Tullahoma, TN 37388-2201

Mailing address

PO Box 1990
Tullahoma, TN 37388-1990
Phone (931) 393-7901

Other identifiers 1

IdentifierTypeStateIssuer
3250309MedicaidTN

Other names 1

  • Harton Regional Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1063456770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1990",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373881990",
            "telephone_number": "931-393-7901",
            "fax_number": "931-393-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882201",
            "telephone_number": "931-393-7901",
            "fax_number": "931-393-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLAHOMA HMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "MALLETTE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "800-853-4570"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "0000000018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3250309",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harton Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.