Organization Active NPI

Decatur County General Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Parsons, TN
National Provider Identifier
1104099712
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0000000028 Issued in TN
Legal business name
DECATUR COUNTY GENERAL HOSPITAL
Practice address
969 Tennessee Ave S
Parsons, TN 38363-3700
Phone
(731) 847-3031
Fax
(731) 847-1122
NPI assigned
Apr 4, 2008
Last updated
Jul 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DECATUR COUNTY GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0000000028 TN Primary

Addresses

Primary practice location

969 Tennessee Ave S
Parsons, TN 38363-3700

Mailing address

200 W Church St
Lexington, TN 38351-2038
Phone (336) 944-6420

National Provider Directory

National Provider Directory
Part of
Decatur Co Gen Hospital

Locations

108 E Morgan St
Parsons, TN 38363
Phone (901) 847-3031

Practitioners & affiliated clinicians

Practitioners 1

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": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1104099712",
    "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",
            "telephone_number": "336-944-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 TENNESSEE AVE S",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383633700",
            "telephone_number": "731-847-3031",
            "fax_number": "731-847-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR COUNTY GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECATUR COUNTY GENERAL HOSPITAL",
        "enumeration_date": "2008-04-04",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "HENSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "RCD",
        "authorized_official_telephone_number": "336-944-6420"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.