James H. Quillen VA Medical Center

Primary specialty

Chronic Disease HospitalTaxonomy code 281P00000X

License

RN0000087275 Issued in TN

Legal business name

JAMES H. QUILLEN VA MEDICAL CENTER

Doing business as

Mountain Home

Practice address

415 S Main Ave
Erwin, TN 37650-1119

Phone

(423) 743-9058

NPI assigned

Jan 8, 2007

Last updated

Jun 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Ann Woods

Title

Registered Nurse

Phone

(423) 926-1171

Specialties & licenses 1

Addresses

Other names 1

• Mountain Home Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1225187669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S MAIN AVE",
            "address_2": "PO BOX 281",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501119",
            "telephone_number": "423-743-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S MAIN AVE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376501119",
            "telephone_number": "423-743-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. QUILLEN VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "423-926-1171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "TN",
            "license": "RN0000087275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Eunjoo Ho, FNP-C
• Tom B Holbert, R.PH.
• Paul Anthony Hollier Sr., M.D.
• Kimberly Dawn Holtsclaw, FNP
• Travis Darrell Hughes, PA-C
• Amanda Johnson
• Tammy Johnson
• Caleb Steven Jones, PHARMD
• Just Like Family Home Care
• K -VA -T Food Stores Inc (Food City Pharmacy #625)

• Chronic Disease Hospital in Erwin, TN
• Providers in Erwin, TN by specialty
• Chronic Disease Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.