NPIMap

Organization Active NPI

Hma Fentress County General Hospital LLC

Doing business as Tennova Healthcare-Jamestown

  • Medicare Defined Swing Bed Hospital Unit
  • Jamestown, TN
National Provider Identifier
1326485384
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
0000000048 Issued in TN
Legal business name
HMA FENTRESS COUNTY GENERAL HOSPITAL LLC
Doing business as
Tennova Healthcare-Jamestown
Practice address
436 Central Ave W
Jamestown, TN 38556-3031
Phone
(931) 879-3352
Fax
(931) 879-4896
NPI assigned
May 31, 2013
Last updated
Oct 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Authorized official

Name
Paula M Lalor
Title
Director/Delegated Official
Phone
(615) 925-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 0000000048 TN Primary

Addresses

Primary practice location

436 Central Ave W
Jamestown, TN 38556-3031

Mailing address

436 Central Ave W
Jamestown, TN 38556-3031
Phone (931) 879-3352

Other names 1

  • Tennova Healthcare-Jamestown 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": "1369958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507161600000",
    "number": "1326485384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CENTRAL AVE W",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563031",
            "telephone_number": "931-879-3352",
            "fax_number": "931-879-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CENTRAL AVE W",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563031",
            "telephone_number": "931-879-3352",
            "fax_number": "931-879-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMA FENTRESS COUNTY GENERAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-31",
        "last_updated": "2017-10-05",
        "status": "A",
        "authorized_official_last_name": "LALOR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "615-925-4565"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "TN",
            "license": "0000000048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennova Healthcare-Jamestown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.