Active NPI
McKenzie Tennessee Hospital Company LLC
Doing business as McKenzie Hospital Corp Anesthesia
- Certified Registered Nurse Anesthetist
- McKenzie, TN
National Provider Identifier
1215988324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- MCKENZIE TENNESSEE HOSPITAL COMPANY LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4121222 | Other | TN | BCBS GROUP PIN |
| 3250180 | Medicaid | TN |
Other names 1
- McKenzie Hospital Corp Anesthesia
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.
-
dba McKenzie Regional Hospital
- General Acute Care Hospital
- McKenzie, TN
- NPI 1407827157
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
- McKenzie Medical Center PC (Hometown Health Clinic Bethel Campus)
- McKenzie Medical Center PC (Hometown Health Clinic)
- McKenzie Medical Center PC (Hometown Health Clinic)
- McKenzie Medical Center PC (Hometown Health Clinic)
- McKenzie SNF Healthcare LLC (Cherrywood Post Acute)
- McKenzie Tennessee Hospital Company LLC (McKenzie Regional Hospital)
- McKenzie Tennessee Hospital Company LLC (McKenzie Regional Hospital)
- Brianna Douglas McKinney, PHARMD
- Med-Trans Corporation
- Heather Anne Melton, MD
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.