White County Community Hospital LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

0000000127 Issued in TN

Legal business name

WHITE COUNTY COMMUNITY HOSPITAL LLC

Practice address

401 Sewell Dr
Sparta, TN 38583-1223

Phone

(931) 738-9211

NPI assigned

Feb 2, 2006

Organization subpart

Yes

Parent organization

SPARTA HOSPITAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

S Ray Coffey

Title

VP of Reimbursement

Phone

(615) 764-3009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Highlands Medical Center Doing business as

Part of

Sparta Hospital Corporati

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Saint Thomas Health

  • Community/Retail Pharmacy
  • Nashville, TN
  • NPI 1861806911

  Member Of

  NPD member

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1194797472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100983",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SEWELL DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831223",
            "telephone_number": "931-738-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE COUNTY COMMUNITY HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARTA HOSPITAL CORPORATION",
        "enumeration_date": "2006-02-02",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "615-764-3009"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "TN",
            "license": "0000000127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "621587742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walgreen Co
• Walk in Clinic of Sparta LLC.
• Ty T Webb, MD
• Callie Dorcas Welch, BCBA
• White County Community Hospital LLC
• White County Community Hospital LLC
• White County Physician Services LLC
• White County Primary Care, LLC
• Geneth Kay Wolfer, D.O.
• Ruth Elaine Wood, FNP-C

• Psychiatric Hospital Unit in Sparta, TN
• Providers in Sparta, TN by specialty
• Psychiatric Hospital Unit in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.