Active NPI
Stones River Hospital
Doing business as Cannou County Hospital LLC
- Institutional Pharmacy
- Woodbury, TN
National Provider Identifier
1326169806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Institutional Pharmacy
- License
- 410
- Legal business name
- STONES RIVER HOSPITAL
- Doing business as
- Cannou County Hospital LLC
- Practice address
- 324 Doolittle Rd
Woodbury, TN 37190-1139 - Phone
- (615) 563-7230
- Fax
- (615) 563-7234
- NPI assigned
- Apr 3, 2007
- Last updated
- Sep 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Mullen
- Title
- PHRM Mang
- Phone
- (615) 563-7233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Institutional Pharmacy | 3336I0012X | 410 | TN | Primary |
Addresses
Primary practice location
324 Doolittle Rd
Woodbury, TN 37190-1139
Mailing address
324 Doolittle Rd
Woodbury, TN 37190-1139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4440195 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 4440195 | Other | OTHER ID NUMBER |
Other names 1
- CANNOU COUNTY HOSPITAL LLC
National Provider Directory
National Provider Directory- Tax ID family
- Cannon County Hospital LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dekalb Community Hospital
- Institutional Pharmacy
- Smithville, TN
- NPI 1942489067
-
dba Dekalb Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TN
- NPI 1306876669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1326169806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 DOOLITTLE RD",
"city": "WOODBURY",
"state": "TN",
"postal_code": "371901139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 DOOLITTLE RD",
"city": "WOODBURY",
"state": "TN",
"postal_code": "371901139",
"telephone_number": "615-563-7230",
"fax_number": "615-563-7234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONES RIVER HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "MULLEN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "PHRM MANG",
"authorized_official_telephone_number": "615-563-7233"
},
"taxonomies": [
{
"code": "3336I0012X",
"taxonomy_group": "",
"desc": "Pharmacy, Institutional Pharmacy",
"state": "TN",
"license": "410",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "4440195",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER",
"identifier": "4440195",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CANNOU COUNTY HOSPITAL LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodbury, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.