Organization Active NPI

McKenzie Tennessee Hospital Company LLC

Doing business as McKenzie Hospital Corp Anesthesia

  • Certified Registered Nurse Anesthetist
  • McKenzie, TN
National Provider Identifier
1215988324
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MCKENZIE TENNESSEE HOSPITAL COMPANY LLC
Doing business as
McKenzie Hospital Corp Anesthesia
Practice address
161 Hospital Dr
MC Kenzie, TN 38201-1636
Phone
(660) 826-5960
Fax
(660) 826-4852
NPI assigned
May 13, 2006
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MCKENZIE TENNESSEE HOSPITAL COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Debbie E Brewer
Title
Director, Provider Enrollment
Phone
(877) 892-9813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

161 Hospital Dr
MC Kenzie, TN 38201-1636

Mailing address

7100 Commerce Way
Suite 180
Brentwood, TN 37027-2829

Other identifiers 2

IdentifierTypeStateIssuer
4121222OtherTNBCBS GROUP PIN
3250180MedicaidTN

Other names 1

  • McKenzie Hospital Corp Anesthesia Doing business as

National Provider Directory

National Provider Directory
Part of
McKenzie Hospital Corpo

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1215988324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011636",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE TENNESSEE HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKENZIE TENNESSEE HOSPITAL COMPANY LLC",
        "enumeration_date": "2006-05-13",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PIN",
            "identifier": "4121222",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3250180",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKenzie Hospital Corp Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.