NPIMap

Organization Active NPI

St. Mary'S Medical Center of Campbell County, Inc.

  • General Acute Care Hospital
  • Lafollette, TN
National Provider Identifier
1366423782
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000000008 Issued in TN
Legal business name
ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.
Practice address
923 East Central Ave
Lafollette, TN 37766-2055
Phone
(423) 907-1200
Fax
(423) 907-1164
NPI assigned
Nov 11, 2005
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mr. Timothy Parry
Title
Sr VP and General Counsel
Phone
(239) 552-3458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0000000008 TN Primary

Addresses

Primary practice location

923 East Central Ave
Lafollette, TN 37766-2055

Mailing address

923 East Central Ave
Lafollette, TN 37766-2055
Phone (423) 907-1200

National Provider Directory

National Provider Directory

Locations

905 E Central Ave
#C
La Follette, TN 37766
Phone (423) 907-1625

905 E Central Ave
#B
La Follette, TN 37766
Phone (423) 907-1542

7557 Dannaher Way
Ste G104
Powell, TN 37849
Phone (865) 859-7490

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1366423782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 EAST CENTRAL AVE",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "377662055",
            "telephone_number": "423-907-1200",
            "fax_number": "423-907-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 EAST CENTRAL AVE",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "377662055",
            "telephone_number": "423-907-1200",
            "fax_number": "423-907-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S MEDICAL CENTER OF CAMPBELL COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS, INC.",
        "enumeration_date": "2005-11-11",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "PARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "SR VP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "239-552-3458",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TN",
            "license": "0000000008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafollette, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.