Active NPI
Woods Memorial Hospital LLC
- Psychiatric Hospital Unit
- Etowah, TN
National Provider Identifier
1114288511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- WOODS MEMORIAL HOSPITAL LLC
- Practice address
- 886 Highway 411 N
Etowah, TN 37331-1912 - Phone
- (423) 263-3600
- NPI assigned
- Jun 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael B. Clark
- Title
- President
- Phone
- (615) 372-8500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary |
Addresses
Primary practice location
886 Highway 411 N
Etowah, TN 37331-1912
Mailing address
103 Powell CT
Brentwood, TN 37027-5079
Phone (615) 372-8500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338508800000",
"number": "1114288511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 POWELL CT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275079",
"telephone_number": "615-372-8500",
"fax_number": "615-372-8572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "886 HIGHWAY 411 N",
"city": "ETOWAH",
"state": "TN",
"postal_code": "373311912",
"telephone_number": "423-263-3600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODS MEMORIAL HOSPITAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "615-372-8500"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Etowah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.