Coffee Medical Group LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

445383 Issued in TN

Legal business name

COFFEE MEDICAL GROUP LLC

Doing business as

United Regional Medical Center Nursing Home

Practice address

1001 McArthur Drive
Manchester, TN 37355

Phone

(931) 728-3586

Fax

(931) 723-0781

NPI assigned

Oct 7, 2006

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly B Hopkins

Title

Business Office Manager

Phone

(931) 461-3425

Specialties & licenses 2

Addresses

Other names 1

• United Regional Medical Center Nursing Home Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Coffee Medical Group LLC

  dba Manchester Rural Health Clinic

  • Rural Health Clinic/Center
  • Manchester, TN
  • NPI 1043537046

  Member Of

  NPD member

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1063509271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MCARTHUR DRIVE",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "37355",
            "telephone_number": "931-728-3586",
            "fax_number": "931-723-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MCARTHUR DRIVE",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "37355",
            "telephone_number": "931-728-3586",
            "fax_number": "931-723-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COFFEE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "931-461-3425"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "7440354",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "445383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Regional Medical Center Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coffee County Hospital Group Inc (Medical Center of Manchester)
• Coffee County Hospital Group, Inc
• Coffee County Physician Group PC
• Coffee Medical Group LLC (Unity Medical Center)
• Coffee Medical Group LLC (Manchester Rural Health Clinic)
• Coffee Medical Group LLC (dba United Regional Medical Center)
• Coffee Medical Group LLC (United Regional Multi-Specialty Group)
• Coffee Medical Group LLC (Center for Family Medicine)
• Coffee Medical Group LLC (Unity Rural Health Clinic)
• Stephania Rose Colangione, RN

• Skilled Nursing Facility in Manchester, TN
• Providers in Manchester, 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 Jun 20, 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.

Verify at the official NPI Registry.