Active NPI
Laughlin Memorial Hospital
- Rural Acute Care Hospital
- Greeneville, TN
National Provider Identifier
1336111699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- License
- 0000000053
- Legal business name
- LAUGHLIN MEMORIAL HOSPITAL
- Practice address
- 1420 Tusculum Blvd
Greeneville, TN 37745-4279 - Phone
- (423) 787-5000
- Fax
- (423) 787-5146
- NPI assigned
- Feb 2, 2006
- Last updated
- Apr 23, 2019
- 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
- Mary Lynn Krutak
- Title
- Evp/Cfo
- Phone
- (423) 302-3423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | 0000000053 | TN | Primary |
Addresses
Primary practice location
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Mailing address
311 Princeton Rd Ste 1
Johnson City, TN 37601-2026
Phone (423) 787-5000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555977600000",
"number": "1336111699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 PRINCETON RD STE 1",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012026",
"telephone_number": "423-787-5000",
"fax_number": "423-787-5146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 TUSCULUM BLVD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377454279",
"telephone_number": "423-787-5000",
"fax_number": "423-787-5146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAUGHLIN MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2019-04-23",
"status": "A",
"authorized_official_last_name": "KRUTAK",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "EVP/CFO",
"authorized_official_telephone_number": "423-302-3423"
},
"taxonomies": [
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "TN",
"license": "0000000053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.