McNairy Hospital Corporation

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0000000081 Issued in TN

Legal business name

MCNAIRY HOSPITAL CORPORATION

Doing business as

Tennova Healthcare-McNairy Regional

Practice address

705 E Poplar Ave
Selmer, TN 38375-1828

Phone

(731) 645-3221

NPI assigned

Jan 31, 2006

Last updated

Apr 27, 2016By 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

Tara P Richardson

Title

Authorized Official

Phone

(615) 221-3672

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Tennova Healthcare-McNairy Regional Doing business as

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1154392710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501060",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631501060",
            "telephone_number": "731-645-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E POPLAR AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383751828",
            "telephone_number": "731-645-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCNAIRY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440051",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07771013",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "440008",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25828",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4048516",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136769",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Healthcare-McNairy Regional",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenny McLeod, LMSW
• McNairy Clinic Corp
• McNairy County Developmental Services
• McNairy County Health Care Center LLC
• McNairy County Schools
• McNairy Hospital Corporation (Medical Associates of McNairy Regional Hospital)
• McNairy Hospital Corporation (Tennova Family Medicine)
• McNairy Hospital Corporation (Tennova Healthcare-McNairy Regional)
• Kristin McNatt, RN
• Mellissa McTizic, MSW

• General Acute Care Hospital in Selmer, TN
• Providers in Selmer, TN by specialty
• General Acute Care Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.