NPIMap

Organization Active NPI

Hardin County Regional Health Center

Doing business as Lifespan Health

  • Federally Qualified Health Center (FQHC)
  • Savannah, TN
National Provider Identifier
1184676157
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HARDIN COUNTY REGIONAL HEALTH CENTER
Doing business as
Lifespan Health
Practice address
765 Florence Rd
Savannah, TN 38372-3451
Phone
(731) 925-2300
Fax
(731) 925-2157
NPI assigned
May 17, 2006
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Mrs. Yainieh Taylor McGinley
Title
Ceo
Phone
(731) 925-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

765 Florence Rd
Savannah, TN 38372-3451

Mailing address

PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300

Other identifiers 2

IdentifierTypeStateIssuer
0441800MedicaidTN
3707027MedicaidTN

Other names 1

  • Lifespan Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040430000116 TN Part B Supplier - Clinic/Group Practice 3779490776 Receives reassigned benefits from 49 practitioners
1 other NPI on this enrollment
Practice locations: Savannah, TN; Selmer, TN; Clifton, TN; Adamsville, TN
O20060801000257 TN Part A Provider - Federally Qualified Health Center (FQHC) 3779490776 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Savannah, TN
O20060801000280 TN Part A Provider - Federally Qualified Health Center (FQHC) 3779490776 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clifton, TN
O20080711000596 TN Part A Provider - Federally Qualified Health Center (FQHC) 3779490776 Practice locations: Savannah, TN

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1184676157. Details of each certification follow.

Federally qualified health center certification: CCN 441907

Legal name
HARDIN COUNTY REGIONAL HEALTH CENTER
Doing business as
LIFESPAN HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 21, 2006
Last certification
Sep 21, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 18, 1993 in TN
Enrollment address
150E End Dr
Savannah, TN 38372-1712

Federally qualified health center certification: CCN 441906

Legal name
HARDIN COUNTY REGIONAL HEALTH CENTER
Doing business as
LIFESPAN HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 21, 2006
Last certification
Sep 21, 2006
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 13, 1993 in TN
Enrollment address
207 Main Street
Clifton, TN 38425-5547

Federally qualified health center certification: CCN 441800

Legal name
HARDIN COUNTY REGIONAL HEALTH CENTER
Doing business as
LIFESPAN HEALTH
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 9, 1996
Last certification
Aug 9, 1996
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 18, 1993 in TN
Enrollment address
765 Florence Road
Savannah, TN 38372-3451

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

255 Wayne Rd
Ste 38
Savannah, TN 38372

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
James Baker Individual Corporate DirectorBoard Member Jan 22, 2015
Vincent Hopson Individual Corporate Director Jul 5, 2006
Corporate Director Jul 1, 2008
Ryan Miller Individual Corporate DirectorBoard Member Dec 13, 2018
Jennifer Lynn Williams Individual Corporate OfficerCfo Apr 21, 2008
W-2 Managing Employee Jul 1, 2010
Matthew McGinley Individual Corporate Officer May 29, 2005
W-2 Managing Employee Jul 5, 2006
Rita Maxedon Individual Corporate Director Jul 5, 2006
Corporate Director Jul 1, 2008
Stephen Milligan Individual Corporate Director Jul 1, 2008
Corporate DirectorBoard Member Jan 1, 2012
June Lafran Plunk Individual Corporate DirectorBoard Member Jul 31, 2022
Corporate DirectorBorad Member Jul 31, 2022
Morgan Bo Reynolds Individual Corporate DirectorBoard Member Jul 31, 2022
Charles Bevis Individual Corporate Director Jul 5, 2006
Corporate Director Jul 1, 2008
Allen Cherry Individual Corporate Director Jul 5, 2006
Corporate Director Jul 1, 2008
Tony Polk Individual Corporate Director Jul 22, 2010
Corporate Director Jul 24, 2010
Cora Damron Individual Corporate Director Jul 5, 2006
Corporate Director Jul 1, 2008
Mina Bhakta Individual Corporate DirectorBoard Member Dec 13, 2018
Rebecca L Wright Individual Corporate OfficerCeo Oct 22, 2024
W-2 Managing EmployeeCeo Oct 22, 2024
W-2 Managing Employee Oct 22, 2024

Practitioners & affiliated clinicians

Practitioners 54

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 54

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1184676157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300",
            "fax_number": "731-925-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 FLORENCE RD",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383723451",
            "telephone_number": "731-925-2300",
            "fax_number": "731-925-2157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "MCGINLEY",
        "authorized_official_first_name": "YAINIEH",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-925-2300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0441800",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707027",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifespan Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, TN

Sources for this page

Verify at the official NPI Registry.