NPIMap

Organization Active NPI

Unicoi County Memorial Hospital Inc

  • General Acute Care Hospital
  • Erwin, TN
National Provider Identifier
1295701217
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000119 Issued in TN
Legal business name
UNICOI COUNTY MEMORIAL HOSPITAL INC
Practice address
100 Greenway Circle
Erwin, TN 37650
Phone
(423) 743-3141
Fax
(423) 743-1244
NPI assigned
Feb 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jim Pate
Title
Chief Executive Officer
Phone
(423) 743-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000119 TN Primary

Addresses

Primary practice location

100 Greenway Circle
Erwin, TN 37650

Mailing address

100 Greenway Circle
Erwin, TN 37650
Phone (423) 743-3141

Other identifiers 1

IdentifierTypeStateIssuer
0440001MedicaidTN

Other names 1

  • Unicoi Cty Memorial Hospital Cty Nursing Home Cty Home Health Agency Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295701217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIRCLE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GREENWAY CIRCLE",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-743-3141",
            "fax_number": "423-743-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICOI COUNTY MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "423-743-3141",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0440001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unicoi Cty Memorial Hospital Cty Nursing Home Cty Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.