Copper Basin Community Hospital

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COPPER BASIN COMMUNITY HOSPITAL

Doing business as

Copper Basin Family Healthcare

Practice address

144 Medical Center Dr
BLDG. C
Copperhill, TN 37317-5005

Phone

(423) 496-5511

Fax

(423) 548-1520

NPI assigned

May 10, 2010

Last updated

Jan 20, 2017By 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

Anna Clark

Title

Ceo

Phone

(423) 548-1500

Specialties & licenses 1

Addresses

Other names 1

• Copper Basin Family Healthcare Doing business as

Locations

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1275851602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MEDICAL CENTER DR",
            "address_2": "BLDG. C",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373175005",
            "telephone_number": "423-496-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MEDICAL CENTER DR",
            "address_2": "BLDG. C",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373175005",
            "telephone_number": "423-496-5511",
            "fax_number": "423-548-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER BASIN COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-548-1500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Basin Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Boring
• C Dennis Muse
• Caremed EMS of Tennessee LLC
• Jessica Ella Collins, PA-C
• David Wayne Cook, RPH
• Copper Basin Community Hospital Inc (Copper Basin Med Ctr Swing Bed)
• Copper Basin Community Hospital Inc (Copper Basin Medical Center)
• Copper Basin Community Hospital Inc (Copper Basin Medical Center)
• Copper Basin Community Hospital Inc. (Ed Copper Basin Medical Center)
• Copper Basin Family Practice Inc.

• Family Medicine Physician in Copperhill, TN
• Providers in Copperhill, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.