NPIMap

Organization Active NPI

Perry County Community Hospital Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Linden, TN
National Provider Identifier
1093501454
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
PERRY COUNTY COMMUNITY HOSPITAL INC
Practice address
2718 Squirrel Hollow Dr
Linden, TN 37096-3526
Phone
(731) 968-3646
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Larry Henson
Title
RCD, Authorized Official
Phone
(336) 944-6420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

2718 Squirrel Hollow Dr
Linden, TN 37096-3526

Mailing address

200 W Church St
Lexington, TN 38351-2038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260122001637 TN Part A Provider - Critical Access Hospital 1850885351 Practice locations: Linden, TN

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093501454. Details of each certification follow.

Hospital certification: CCN 44Z325

Legal name
PERRY COUNTY COMMUNITY HOSPITAL INC
Organization structure
CorporationProprietary
Enrollment address
2718 Squirrel Hollow Dr
Linden, TN 37096-3526
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Perry County Community Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Braden Health Inc Organization, Greensboro, NC Corporation, For-profit 5% Or Greater Direct Ownership Interest Aug 19, 2024 100%
Beau R Braden Individual Corporate OfficerPresident Aug 19, 2024
Corporate DirectorPresident Aug 19, 2024
Brooks Braden Individual Corporate OfficerBoard Member Aug 19, 2024
Larry Henson Individual Corporate OfficerRCD Aug 19, 2024
Hali Sanders Individual W-2 Managing EmployeeAd; Sep 29, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Beau Braden
    • Emergency Medicine Physician
    • Ave Maria, FL
    • NPI 1902044985

    Corporate Director, Corporate Officer

    CMS ownership

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1093501454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CHURCH ST",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383512038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 SQUIRREL HOLLOW DR",
            "city": "LINDEN",
            "state": "TN",
            "postal_code": "370963526",
            "telephone_number": "731-968-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY COUNTY COMMUNITY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "RCD, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "336-944-6420"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, TN

Sources for this page

Verify at the official NPI Registry.