Fentress Health Systems, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

34 Issued in TN

Legal business name

FENTRESS HEALTH SYSTEMS, LLC

Practice address

208 W Central Avenue
Jamestown, TN 38556

Phone

(931) 752-2273

NPI assigned

May 14, 2007

Last updated

Jun 24, 2011By 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

Baley F Allred III

Title

Chariman of the Board

Phone

(931) 752-2273

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1093920787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51923",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501923",
            "telephone_number": "865-531-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W CENTRAL AVENUE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "38556",
            "telephone_number": "931-752-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENTRESS HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "ALLRED",
        "authorized_official_first_name": "BALEY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHARIMAN OF THE BOARD",
        "authorized_official_telephone_number": "931-752-2273",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TN",
            "license": "34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3790001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "TN0101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fast Pace Medical Clinic PLLC
• Fentress County (Fentress County Ambulance Service)
• Fentress County Board of Education
• Fentress Family Care LLC (Jamestown Family Care Clinic)
• Fentress Family Practice PLLC (Fentress Family Practice)
• Katy Lynn Flowers, F.N.P.
• William Flowers, FNP-C
• Sheila Ann Foy
• Adam Gaudette, DC
• Good Shepherd Transport Inc

• Magnetic Resonance Imaging (MRI) Clinic/Center in Jamestown, TN
• Providers in Jamestown, TN by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.