NPIMap

Organization Active NPI

Hma Fentress County General Hospital LLC

Doing business as Tennova Healthcare-Jamestown

  • General Acute Care Hospital
  • Jamestown, TN
National Provider Identifier
1093760712
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000048 Issued in TN
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
NPI assigned
May 23, 2006
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000048 TN Primary
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

436 Central Ave W
Jamestown, TN 38556-3031

Mailing address

436 Central Ave W
Jamestown, TN 38556-3031
Phone (931) 879-8171

Other identifiers 2

IdentifierTypeStateIssuer
0440083MedicaidTN
1000102OtherTNBLUE CROSS

Other names 1

  • Tennova Healthcare-Jamestown Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1093760712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CENTRAL AVE W",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563031",
            "telephone_number": "931-879-8171"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMA FENTRESS COUNTY GENERAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000048",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440083",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000102",
            "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.