NPIMap

Organization Active NPI

Bolivar General Hospital, Inc.

Doing business as Bolivar ER

  • General Acute Care Hospital
  • Bolivar, TN
National Provider Identifier
1174545446
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BOLIVAR GENERAL HOSPITAL, INC.
Doing business as
Bolivar ER
Practice address
650 Nuckolls Rd
Bolivar, TN 38008-1532
Phone
(731) 658-3100
Fax
(731) 658-7890
NPI assigned
Jul 24, 2006
Last updated
Oct 30, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BOLIVAR GENERAL HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Karen Utley
Title
Vice President
Phone
(731) 425-6733

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary
Critical Access Hospital 282NC0060X
Children's Hospital 282NC2000X
Rural Acute Care Hospital 282NR1301X
Women's Hospital 282NW0100X

Addresses

Primary practice location

650 Nuckolls Rd
Bolivar, TN 38008-1532

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582

Other names 1

  • Bolivar ER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bolivar General Hospital2 organizations share this tax ID, including this one
Part of
Bolivar General Hospital

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 101

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.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1174545446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 BANCORP SOUTH PKWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383057582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NUCKOLLS RD",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081532",
            "telephone_number": "731-658-3100",
            "fax_number": "731-658-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLIVAR GENERAL HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOLIVAR GENERAL HOSPITAL INC",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "UTLEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "731-425-6733"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolivar ER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bolivar, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.