Organization Active NPI

Cannon County Hospital LLC

Doing business as Stones River Hospital

  • General Acute Care Hospital
  • Woodbury, TN
National Provider Identifier
1114972007
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000009 Issued in TN
Legal business name
CANNON COUNTY HOSPITAL LLC
Doing business as
Stones River Hospital
Practice address
324 Doolittle Rd
Woodbury, TN 37190-1139
Phone
(615) 563-3153
Fax
(615) 563-1201
NPI assigned
May 23, 2006
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mr. Robert M Luther
Title
Chief Executive Officer
Phone
(615) 563-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000009 TN Primary

Addresses

Primary practice location

324 Doolittle Rd
Woodbury, TN 37190-1139

Mailing address

324 Doolittle Rd
Woodbury, TN 37190-1139
Phone (615) 563-3153

Other names 1

  • Stones River Hospital Doing business as

National Provider Directory

National Provider Directory

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": "1248825600000",
    "number": "1114972007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 DOOLITTLE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901139",
            "telephone_number": "615-563-3153",
            "fax_number": "615-563-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 DOOLITTLE RD",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901139",
            "telephone_number": "615-563-3153",
            "fax_number": "615-563-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON COUNTY HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "LUTHER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "615-563-4001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stones River Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.